4311 Jasper Dr - Inspection FormtCY)'
City of Pap
Residential Sanitary Sewer Service
Compliance Inspection
Date //
Name
House Number
PID Number.
4" to 6" Transition:
Alternative Mailing Address
/ j
J /l /
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral InsDectio indings I) Number of stacks
Roots _
D
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1 r �
Transition
White Copy: Propei ty Owner
Time
Owner/ pant Signature
/ /} r0 5{'am
9%• pm
Disk #
Street Name
/
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
n �
Yellow Copy: City of Eagan
Record Number
Time
Phone 27- 77 7
Inspector Signature
Obstruction
Unable to push past
feet
Entered S at
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
Length of Service: { f d f )Final Cieanout
Pink Copy: SEH
Notes
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Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
1
Foundation drains
'
Roof drains
tCY)'
City of Pap
Residential Sanitary Sewer Service
Compliance Inspection
Date //
Name
House Number
PID Number.
4" to 6" Transition:
Alternative Mailing Address
/ j
J /l /
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral InsDectio indings I) Number of stacks
Roots _
D
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1 r �
Transition
White Copy: Propei ty Owner
Time
Owner/ pant Signature
/ /} r0 5{'am
9%• pm
Disk #
Street Name
/
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
n �
Yellow Copy: City of Eagan
Record Number
Time
Phone 27- 77 7
Inspector Signature
Obstruction
Unable to push past
feet
Entered S at
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
Length of Service: { f d f )Final Cieanout
Pink Copy: SEH