4881 Windsor Ct - Inspection FormResidential Sanitary Sewer Service
Compliance c Inspection
O
Date - / 1 / /Ca
Name
PID Number
6 rr
House Number if
Alternate Mailing Address
Compliance
No foundation drain connection
6 No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
s'lr .ta
White Copy: Property Owner
Time
i r S
� 104 ;1 ;t ( Oar,L(4'l u
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6" Transition:
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
For Information call 651.470.2788
Number of stacks
c7o -07c - 1 1�1
410 / (4C) ?one, /o3, L1
r �
Length of Service: !Li f . .C-\-
Yellow Copy: City of Eagan
Record Number ] c / IC) 7
Obstruction
ri Time
Phone
Unable to push past
feet
Inspector Signature
C r - L
Entered S L at t. -L
o am
o pm
5"1 - L/ - 9L(
No Access
a Neonein
o Access to service lateral
needed
o Inspection refused
C
Roots / �t�v
•
Poor Pipe Joints
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
/()
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
95
Roof Drains
C
Residential Sanitary Sewer Service
Compliance c Inspection
O
Date - / 1 / /Ca
Name
PID Number
6 rr
House Number if
Alternate Mailing Address
Compliance
No foundation drain connection
6 No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
s'lr .ta
White Copy: Property Owner
Time
i r S
� 104 ;1 ;t ( Oar,L(4'l u
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6" Transition:
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
For Information call 651.470.2788
Number of stacks
c7o -07c - 1 1�1
410 / (4C) ?one, /o3, L1
r �
Length of Service: !Li f . .C-\-
Yellow Copy: City of Eagan
Record Number ] c / IC) 7
Obstruction
ri Time
Phone
Unable to push past
feet
Inspector Signature
C r - L
Entered S L at t. -L
o am
o pm
5"1 - L/ - 9L(
No Access
a Neonein
o Access to service lateral
needed
o Inspection refused
C
Roots / �t�v
•
Poor Pipe Joints
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551