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4619 1_2 Penkwe Way - Inspection FormCity of Ea as p Residential Sanitary Sewer Service Compliance Inspection Date 1 -.1 /(3 Time Name 4" to 6" Transition: Sump pumps Foundation drains Roof drains White Copy: Ptoper ty Owner 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 Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Total 1 • 00 l —• /• pm Disk # PID Number House Number - } � Street Name OwnerlOccupant Signature Correctly I J Alterative Mailing Address / Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O f=lexible sump pump piping • i Number Discharged Incorrectly Unknown Record Number. • ✓ am Time • pm Service Lateral Inspection Findings Number of stacks Entered S. at . "� ;- Roots Phone . - `° -� Inspector Signature For information call 651.470.2788 Obstruction Unable to push past feet No Access O No one in O Access to service lateral needed O Inspection refused - Length- GiServira,, I / 4 Final Cleanout:_ l✓ i i_ Notes , ' ✓� —- f Yellow Copy: City of Eagan Pink Copy: SEH