4034 Rahn Rd - Inspection Form%tog'
Date 0 /(97/ /0 Time J '
"14.1
Name r Disk #
PID Number
House Number
Alternative Mailing Address.
1.�
4" to 6" Transition:
s /Owner /Occupant Signature
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
Service Lateral inspection Findings
White Copy: Property Owner
City of Papa
Residential Sanitary Sewer Service
Compl Inspect
1 -L
Str eet Name 4/1-4, {�1
Length of Service:
Yellow Copy: City of Eagan
C1J
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
Number of stacks Entered S L at
o am
•
• oprr
PhRne 75/9) 1, ( --
:1---7 c=
7 ,%inspector Signature
•
For information 'call 55
O bstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
A r Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes --A jo i
---_-
,, r "�f'
7 7 ( .7_ ,- ,77
c - .
.-
/1_...,i-4.
i i C , -.3 z_
of '' ,';r.
-,
Number
Discharged...
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
%tog'
Date 0 /(97/ /0 Time J '
"14.1
Name r Disk #
PID Number
House Number
Alternative Mailing Address.
1.�
4" to 6" Transition:
s /Owner /Occupant Signature
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
Service Lateral inspection Findings
White Copy: Property Owner
City of Papa
Residential Sanitary Sewer Service
Compl Inspect
1 -L
Str eet Name 4/1-4, {�1
Length of Service:
Yellow Copy: City of Eagan
C1J
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
Number of stacks Entered S L at
o am
•
• oprr
PhRne 75/9) 1, ( --
:1---7 c=
7 ,%inspector Signature
•
For information 'call 55
O bstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
A r Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Ap i. # Sanitary' e
cif, o ga an
Compliance inspection
Date 7 1 1 Irk
Name
PID Number
House Number
Compliance
Transition
t C r c�
7
Z�U syl
White Copy: Property Owner
Owhe Occupant Signature
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
4" to 6" Transition:
t am
/
Time 0 30 0 pm
Disk It
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
Street Name
Number of stacks
Obstruction
Length of Service: -5'
Yellow Copy: City of Eagan
Record Number "X 266) ()/
Time
Alternate Mailing Addre Phone c' S 1 30
s
Inspector Signature
) i2
o am
O pm
For Information call 651.470.2788
Unable to push past
feet
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Entered S L. at re;,1.}` - St.-Oee;)
Service Lateral Inspection Findings
Roots
Poor Joints
Mineral Deposits
Sag /Pipe Deflection 2 g Ltr2 y
Damaged Pipe
/ /r P. u. y. LI ' r CLS ) L3��,3 �' �G-' � ,0•C
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
N otes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Roof Drains
Ap i. # Sanitary' e
cif, o ga an
Compliance inspection
Date 7 1 1 Irk
Name
PID Number
House Number
Compliance
Transition
t C r c�
7
Z�U syl
White Copy: Property Owner
Owhe Occupant Signature
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
4" to 6" Transition:
t am
/
Time 0 30 0 pm
Disk It
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
Street Name
Number of stacks
Obstruction
Length of Service: -5'
Yellow Copy: City of Eagan
Record Number "X 266) ()/
Time
Alternate Mailing Addre Phone c' S 1 30
s
Inspector Signature
) i2
o am
O pm
For Information call 651.470.2788
Unable to push past
feet
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Entered S L. at re;,1.}` - St.-Oee;)
Service Lateral Inspection Findings
Roots
Poor Joints
Mineral Deposits
Sag /Pipe Deflection 2 g Ltr2 y
Damaged Pipe
/ /r P. u. y. LI ' r CLS ) L3��,3 �' �G-' � ,0•C
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551