1383 St Andrew Blvd - Inspection Form4 1 , 11111. City ill [a as
Residential Sanitary Sewer Service
Compliance Inspection
Date , Y/1 7/ /
n
Name f 44 : g' f"44 J
PID Number
House Number Cl 1
Alternative Mailing Address
For information ca 651.470.2788
Compliance
O No foundation drain connection
tt
� No roof drain connection
p Sump pit not connected to
sanitary sewer
f
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks ( Entered S L at i 1=� "" l -t -v '% ;?7, 4
Roots
AA) A f.3 , °fG ---
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition it s /f C_..
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
A
• p am
Time - • ✓ orpm
Disk #
0
+j
Street Name _ J s '7IOO{.(' -, .72 ..v/ r)
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
(f „,
Length of Service: lit / j `�'7
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
L I • 64- o
Time • -' o' pm
Phone d%J / /re, - .7
�}
inspector Signature
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly
Unknown
Notes , /
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Sump pumps
Foundation drains
Roof drains
, �f
.
4 1 , 11111. City ill [a as
Residential Sanitary Sewer Service
Compliance Inspection
Date , Y/1 7/ /
n
Name f 44 : g' f"44 J
PID Number
House Number Cl 1
Alternative Mailing Address
For information ca 651.470.2788
Compliance
O No foundation drain connection
tt
� No roof drain connection
p Sump pit not connected to
sanitary sewer
f
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks ( Entered S L at i 1=� "" l -t -v '% ;?7, 4
Roots
AA) A f.3 , °fG ---
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition it s /f C_..
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
A
• p am
Time - • ✓ orpm
Disk #
0
+j
Street Name _ J s '7IOO{.(' -, .72 ..v/ r)
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
(f „,
Length of Service: lit / j `�'7
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
L I • 64- o
Time • -' o' pm
Phone d%J / /re, - .7
�}
inspector Signature
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH