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2057 Quartz Lane - Inspection FormSump pumps ( r ' Foundation drains Roof drains 410- did ii _City 0 Residential Sanitary Sewer Service Compliance Inspection Date I ;t / Name PID Number ) ` Disk # 7•c9J q am Time ) „s • • k pm House Number ,„..< r J .5 Street Name Alternative Mailing Address Compliance O No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped /�} No sump pump Service Lateral Inspection Findings Roots ; —. -' Poor Pipe Joints Transition I 4" to 6" Transition: _ If 01 White Copy: Property Owner Total J 4 ; ,• // mo t. Owner/Occupant Signature For information call 651.470.2788 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 Number• of stacks -I Entered S L at Mineral Deposits Sag /Pipe Deflection Damaged Pipe ' ° Length of Service: Number Discharged Correctly Incorrectly Unknown Yellow Copy: City of Eagar' r Record Number Phone / Obstruction Unable to push past feet Notes / ] • �` _._ o am Time / ,'o • pm 7 ;( 1 , Inspector Srg ature No Access O No one in O Access to service lateral needed O Inspection refused Final Cleanout: 9t ' J"Pink Copy: SEH