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4328 Nicols Rd - Inspection FormCity') Ea Residential, Sanitary Sewer Service Compliance Inspection Date 1 / /t Name�z=l! /.z/ C ✓17V PID Number House Number Alternative Mailing Address / Damaged Pipe Transition L) A 4" to 6" Transition: ' f2f White Copy: Property Owner lam Time o pm Disk # Street Name OwnerlOccupant Signature For informatiorw call 651.470.2788 n,:pliance tiNo foundation drain connection V No roof drain connection O Surnp pit not connected to sanitary sewer O Sump pump properly piped ?C7 No sump pump 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 it/ �- , Z - ' 1 ' 7(r A 1 Record Number Time Phone .:' .'J }111)) — / f // s , /'Inspector Signature Obstruction Unable to push past feet Service Lateral Inspection Findings Number of stacks 6 Entered $ L at e ( -t`- Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection_ ? - l.- / Yellow Copy: City of Eagan e S-0 dam f ; C3 • o pm Length of Service: 7 Final Cieanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SFH Total Notes Number Discharged Correctly Incorr ectly Unknown Sump pumps Foundation drains drains City') Ea Residential, Sanitary Sewer Service Compliance Inspection Date 1 / /t Name�z=l! /.z/ C ✓17V PID Number House Number Alternative Mailing Address / Damaged Pipe Transition L) A 4" to 6" Transition: ' f2f White Copy: Property Owner lam Time o pm Disk # Street Name OwnerlOccupant Signature For informatiorw call 651.470.2788 n,:pliance tiNo foundation drain connection V No roof drain connection O Surnp pit not connected to sanitary sewer O Sump pump properly piped ?C7 No sump pump 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 it/ �- , Z - ' 1 ' 7(r A 1 Record Number Time Phone .:' .'J }111)) — / f // s , /'Inspector Signature Obstruction Unable to push past feet Service Lateral Inspection Findings Number of stacks 6 Entered $ L at e ( -t`- Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection_ ? - l.- / Yellow Copy: City of Eagan e S-0 dam f ; C3 • o pm Length of Service: 7 Final Cieanout: No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SFH