818 Ivy Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
City i' E a
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Residential Sanitary Sewer Service
Compliance Inspection
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Date ' : 2 1 21 t1-� Time
Name t A l l i \ J ) ! ) & -
1
House Number
Alternative Mailing Address
f
Disk #
PID Number
.�5 ) 7 Street Name
Compliance
O No foundation drain connection
N No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
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OwnerlQccup`irnt Signature
Service Lateral Inspection Findings
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Total Correctly
Number of stacks
Number Discharged
Incorrectly Unknown
For information call 651.47
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
,;
Transition
Length of Service :,
Il
Yellow Copy: City of Eaga'
Record Number
r Time
Phone
Obstruction
Unable to push past
feet
Entered S. L at .
Notes
C
Y J�
J� - , "
Inspector S
3 o am
• pm
Final Cleanout:�
6
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
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�v a !d 1 Pink Copy: SEH