4673 Cambridge Dr - Inspection FormSum pumps
Sump p p
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Foundation drains'
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Roof drains
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4 11 , 111 `City of hp
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Residential Sanitary Sewer Service
Compliance Inspection
Date
1
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
6 J No sump pump
Owner/Occupant Signature
Service Lateral Inspection Findings
Roots ° "�'
4" to 6" Transition:
White Copy: Pr operty Owner
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Time ♦ o pm
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PID Number
House Number ' S'; Street Name
4
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Alternative Mailing Address Phone /' C YL 7
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 `f Entered S. L at
Poor Pipe Joints
i I i
Mineral Deposits . !_
Sag /Pipe Deflection
Damaged Pipe
Transition
Total Correctly Incorrectly Unknown
Number Discharged
2
Record Number
• p am
Time c. •
Notes
Inspector Signature
Obstruction
Unable to push past
feet
0
prn
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: Final Cleanout:
r. C. .! / a/ r Cwt
Yellow Copy: City of Eagan r Pink Copy: SEH
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