4869 Windsor Ct - Inspection FormResider al Sanita Sewer Ser
a
Compliance Inspection
DateO(., Or' I /c)
Compliance
— No foundation drain connection
No roof drain connection
v Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
s
Service Lateral inspection Findings
Roots /IA
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Time q
Name V, £\ & � r i, ; c
PID Number
House Number -1 (.9q
Alternate atlin. A ss
it(
Owner /Occupant Signature
Disk #
am
• ▪ G o pm
Street Name , ) : ,, , c ,, r — r 4-
Phone (,c I - (.., ' "7(.,.2.1-
- rspector Signature
For Information call 651.470.2788
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
) _ 7 ' 6,0
Number of stacks o Entered S L at 1
Length of Service:
Yellow Copy: City of Eagan
Record Number ,--'71„--7 5 S
Obstruction
Unable to push past
feet
Time
o am
O pm
No Access
o No one in
o Access to service lateral
needed
O Inspection refused
Final Cleanout:' 41 4_
Number Discharged
Sump Pumps
Foundation Drains
Roof Drains
Total
Correctly Incorrectly Unknown
N otes
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551