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4625 1_2 Penkwe Way - Inspection Form4 °I *City of Eaiao Residential Sanitary Sewer Service Compliance Inspection Date . 1 0 5 " / /0 Name 1j .'t/ 4 n' /afbisk # i PID Number House Number Alternative Mailing Address Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Time • o am p pm / /(175 > Street Name Owner /Occupant Signature -r 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 Record Number • Time • o prn Phone / ✓ Insp ector Signature Obstruction Unable to push past feet No Access O No one in 0 am Access to service lateral needed O Inspection refused Service Lateral Inspection Findings Number of stacks Entered S L,at Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to 6 " Transition: Notes �: %` /{"���r•�__�,z j r- rte. a C _, . / ,� r ' White Copy: Property Owner Length of Service: Yellow Copy: City of Eagan Final Cleanout: Pink Copy: SEH Total Number Discharged Correctly Incorrectly MIN -- Unknown Sump pumps MIN MIN Foundation drains Roof drains 4 °I *City of Eaiao Residential Sanitary Sewer Service Compliance Inspection Date . 1 0 5 " / /0 Name 1j .'t/ 4 n' /afbisk # i PID Number House Number Alternative Mailing Address Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Time • o am p pm / /(175 > Street Name Owner /Occupant Signature -r 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 Record Number • Time • o prn Phone / ✓ Insp ector Signature Obstruction Unable to push past feet No Access O No one in 0 am Access to service lateral needed O Inspection refused Service Lateral Inspection Findings Number of stacks Entered S L,at Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to 6 " Transition: Notes �: %` /{"���r•�__�,z j r- rte. a C _, . / ,� r ' White Copy: Property Owner Length of Service: Yellow Copy: City of Eagan Final Cleanout: Pink Copy: SEH