4327 Rahn Rd - Inspection FormFtesideri ai Sanitary Sewer Service
Compliance Inspection
Date 7 13c1 / (7)
Name V
PID Number
House Number 41 3 c
Alternate Mailing Address
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 inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
�ii ya
4" to 6" Transition:
White Copy: Property Owner
Time
y i r,
\ rd.4 ,'it -\ i \ ..N. Ys. v A.
Owner /Occupant Signature
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
o am
O pm
Street Name
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
n
Time
Phone G - 1_15 — C.) f
Unable to push past
feet
(r)
inspector Signature
o am
O pm
For Information call 651.470.2788
Entered S L at
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly Unknown
Sump Pumps
MI
Foundation Drains
MUM
�
--
Roof Drains
Ftesideri ai Sanitary Sewer Service
Compliance Inspection
Date 7 13c1 / (7)
Name V
PID Number
House Number 41 3 c
Alternate Mailing Address
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 inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
�ii ya
4" to 6" Transition:
White Copy: Property Owner
Time
y i r,
\ rd.4 ,'it -\ i \ ..N. Ys. v A.
Owner /Occupant Signature
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
o am
O pm
Street Name
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
n
Time
Phone G - 1_15 — C.) f
Unable to push past
feet
(r)
inspector Signature
o am
O pm
For Information call 651.470.2788
Entered S L at
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
1 161 1 -
City of talati
• _ .
Residential Sanitary Sewer Service
Compliance linspectiori
Date (: / ZEI / 4 • A i Lef am
Time • 0 pm
Name Disk # i_FE_
PID Number
House Number
Alternative Mailing Addr ess
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
l a? 7
Owner/Occupant Signature
For information tali 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Street Name ,
Non
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
Number of stacks
White Copy: Pr opei ty Owner
Yellow Copy: City of Eagan
Time
Entered S.L.at
Record Number
e (
e 7) '71>" "//' '-
P.hone )..) -
•
//
/ inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Notes /fersia
o am
• •
o pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Ill4/*
7,7
TS T
Pink Copy: SEH
cAp
Total
Number.
Discharged
Correctly
I nco r i ectly Unknown
Sump pumps
Foundation drains
Roof drains
1 161 1 -
City of talati
• _ .
Residential Sanitary Sewer Service
Compliance linspectiori
Date (: / ZEI / 4 • A i Lef am
Time • 0 pm
Name Disk # i_FE_
PID Number
House Number
Alternative Mailing Addr ess
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
l a? 7
Owner/Occupant Signature
For information tali 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Street Name ,
Non
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
Number of stacks
White Copy: Pr opei ty Owner
Yellow Copy: City of Eagan
Time
Entered S.L.at
Record Number
e (
e 7) '71>" "//' '-
P.hone )..) -
•
//
/ inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Notes /fersia
o am
• •
o pm
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Ill4/*
7,7
TS T
Pink Copy: SEH
cAp