4646 Penkwe Way - Inspection FormSump pumps
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Foundation drains
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Roof drains
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40 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date ±ll
Name 1), Disk #
PID Number
House Number
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
1'
Alternative Mailing Address
/ ° ;:
White Copy: Pro perty Owner
Time
Street Name
OwnerlOccupont Signature
Compliance
O No foundation drain connection
* No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
▪ Sag /Pipe Deflection
Damaged Pipe
Transition .i 7 i / / .
Total
0
0
0
0
0
am
Pm
For information call 651.470.2788
Non- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks ✓! Entered S . at
Length of Service;,
Number Discharged
Correctly Incorrectly Unknown
Phone
Yellow Copy: City of Eagan
Record Number
�".. 0 am
im pm
Inspector Signature
'?
Obstruction No Access
Unable to push past 0 No one in
feet
O Inspection
refused
Final Cleanouc ;
Notes
'• °' fi -_1' � � �Cy� � �,
O Access to service
lateral needed
/2 1 � .f)
Pink Copy: SEH