4804 Eriks Blvd - Inspection Form41,111'.City oi'Po
Residential Sanitary Sewer Service
Compliance Inspection
Date L --i-1
Name
1 V-)
#
PID Number
House Number 2_/(� Street Name
-L
Record Number 4
Time
Alternative Mailing Address
1]/
OwnerlOc[upant Signature
o am
•
• o pm
.� r
Phone f",---)
�.
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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
Obstruction
Unable to push past
feet.
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service: Final Cleanout:
Notes
l
r Y.7
White Copy: Property Owner
Yellow Copy: City of Eagarl,.y<'(k !'%'�r ' i �'.+10/1f rCopy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Foundation drainsil
Roof drains
M
Notes
l
r Y.7
White Copy: Property Owner
Yellow Copy: City of Eagarl,.y<'(k !'%'�r ' i �'.+10/1f rCopy: SEH
City of iia o
Residential Sanitary Sewer Service
Compliance Inspection
Date ;?',> f
Name
Time
1 Disk#
am
pm
PID Number
House Number .i Y"4-' Street Name
Alternative Mailing Ad dress
Record Number
j. 1 1 J
J
• aam
-rime • 4 Pm
Phone _ 6%
1
Owner/Occupant Signature
fnspect6 Signature
For information call 651:470.2788.
Compliance
O No foundation drain connection
1p
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
Compliance
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspectiont �
Findings'
./'°
Roots ` ''7 -
Poor Pipe Joints 2l
Mineral Deposits
Sag/Pipe Deflection
Number of stacks _ ! Entered S L at
'T f:5-- e'+fob - )254_
7,/,0 f--/P4,-.?c,/)-a,/://4?-7)5,7d(a4.-
e" )-4 .3-7771.`q-7a0v '7-7-77 f-3:2_,.
--- ,)i-7- .1),,,:+.e. ,--- ),z-6. )+_
SEH /A —( -5- j a
��% , �C�L
Mulcidiscidi'fri�r�e St�[d. f� 1
-Pi) 411/)?----'ild g,2&./-.-
,._•--€,,7)--7L-f%1 'q 4 WPatik),
.-f- iA, 42o,-: bG. --
Damaged Pipe
Transition 7"
f
4" to 6" Transition:
Length of Servic
White Copy: Property Owner
Yellow Copy: City c
SEH
Multidisc' line Single Source
C
— /./Ve--/9
Trusted Solutions.
www.sehinc..com
Number
Correctly
Discharged
incorrectly
Unk
Total
Sump pumps
C'
1
Foundation drainspsi
„
- `
t
F -/
Roof drains
�F ��
White Copy: Property Owner
Yellow Copy: City c
SEH
Multidisc' line Single Source
C
— /./Ve--/9
Trusted Solutions.
www.sehinc..com