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2030 Jade Lane - Inspection Form' 1. City of b!a au Residential Sanitary Sewer Service Compliance Inspection Date (75-. / 07/ Name / 1 -4!174 �r rf Disk # PID Number • Compliance No foundation drain connection No roof drain connection y O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Roots Sag /Pipe Deflection Damaged Pipe Transition i'i 4" to 6" Transition: White Copy: Property Owner Time 43 • • dzpm Ownerl0ccupant Signature 0 5J- 0 House Number 2 -....76 ) Street Name _C, ?7 L4/ Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes ,4 Sump pump connected to sanitary \ sewer O Flexible sump pump piping Length of Service: Yellow Copy: City of Fagan Record Number r _ Time / • • / m°m Alternative Mailing Address Phone ![? .9 r r /k7 ; Cn`s pector Signature { For information call 651.470.2788 Obstruction Unable to push past feet No Access O No one in /7- 17 ,r / �i 7. ` v- -- -.24,- /r1 ; -v ;/ ( , rr f 1 /4 5 < 4/ 4 >�= 1 Z >, / /vf l' "7:n., CV 7 -.. , ( - r ! O Access to service lateral needed O inspection refused Service Lateral Inspection Findings Number of stacics I Entered S . at c_ _f2 Poor Pipe joints Mineral Deposits Final Cleanout: 7 3 Notes l�r t I.. DSc, -//A% 4 t ezz:)...f may' b rev JGi. /G f i te r' 0,;-„, J. (7 74,6 Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps i Foundation drains Roof drains : - ' 1. City of b!a au Residential Sanitary Sewer Service Compliance Inspection Date (75-. / 07/ Name / 1 -4!174 �r rf Disk # PID Number • Compliance No foundation drain connection No roof drain connection y O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Roots Sag /Pipe Deflection Damaged Pipe Transition i'i 4" to 6" Transition: White Copy: Property Owner Time 43 • • dzpm Ownerl0ccupant Signature 0 5J- 0 House Number 2 -....76 ) Street Name _C, ?7 L4/ Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes ,4 Sump pump connected to sanitary \ sewer O Flexible sump pump piping Length of Service: Yellow Copy: City of Fagan Record Number r _ Time / • • / m°m Alternative Mailing Address Phone ![? .9 r r /k7 ; Cn`s pector Signature { For information call 651.470.2788 Obstruction Unable to push past feet No Access O No one in /7- 17 ,r / �i 7. ` v- -- -.24,- /r1 ; -v ;/ ( , rr f 1 /4 5 < 4/ 4 >�= 1 Z >, / /vf l' "7:n., CV 7 -.. , ( - r ! O Access to service lateral needed O inspection refused Service Lateral Inspection Findings Number of stacics I Entered S . at c_ _f2 Poor Pipe joints Mineral Deposits Final Cleanout: 7 3 Notes l�r t I.. DSc, -//A% 4 t ezz:)...f may' b rev JGi. /G f i te r' 0,;-„, J. (7 74,6 Pink Copy: SEH