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4721 Westminster Cir - Inspection Form4 1101P' City Ca ti Residential Sanitary Sewer Service Compliance Inspection Date /S1 24 Name /J' r�.�e ., PID Number House Number (72 Alternative Mailing Address Disk # 0 Street Name Owner /Occupant Signature' - For information call 651.470.2788 Compliance O No foundation drain connection X No No roof drain connection Sump pit not connected to sanitary sewer O Sump purnp properly piped O No sump pump Service Lateral Inspection Findings Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection 5Y s := Damaged Pipe Transition 4 ,-1/7/ 4" to 6" Transition: ; White Copy: Property Owner Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks Length of Service: Yellow Copy: City of Fagan Record Number Obstruction Unable to push past feet Entered S.L at ,.) T r� • o am Time °" • Q1 pm Phone '/ Z C 7 s i /t7/ Inspector Signature �T Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SPH Number Correctly Discharged Incorrectly Unkno Notes ° 1� �. . ^ r , e 7 I ' j r --1 �,--1 4 _ / .l 1°55 i 4 67 - i . : — , : 4 I ' , i , 1 ,,_. i �f z✓f.. ') "� i -,f, Sump pumps Foundation drains Total ® !} fr II El Roof drains s _ i i 4 1101P' City Ca ti Residential Sanitary Sewer Service Compliance Inspection Date /S1 24 Name /J' r�.�e ., PID Number House Number (72 Alternative Mailing Address Disk # 0 Street Name Owner /Occupant Signature' - For information call 651.470.2788 Compliance O No foundation drain connection X No No roof drain connection Sump pit not connected to sanitary sewer O Sump purnp properly piped O No sump pump Service Lateral Inspection Findings Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection 5Y s := Damaged Pipe Transition 4 ,-1/7/ 4" to 6" Transition: ; White Copy: Property Owner Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks Length of Service: Yellow Copy: City of Fagan Record Number Obstruction Unable to push past feet Entered S.L at ,.) T r� • o am Time °" • Q1 pm Phone '/ Z C 7 s i /t7/ Inspector Signature �T Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SPH