901 Wescott Square - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date i 1 /c' / C)
Name
PID Number
•
J2
{l s
House Number 9 () \
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
4" to 6" Transition:
White Copy: Property Owner
Disk #
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
4-
o am
O pm
Street Name
Number of stacks
Alternate Mailing Address
i / >,,
(%Owner /O pant Sig` ure
Length of Service:
Yellow Copy: City of Eagan
Record Numbe ✓f 3
Obstruction
Time
Unable to push past
feet
Entered S.L. at
Phone
Inspector Signature
O am
O pm
For Information call 651.470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Final Cleanout: ,p
Number Discharged
Sump Pumps
Foundation Drains
Roof Drains
Total
Correctly incorrectly Unknown
Notes
4 - / D
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551