1525 Sherwood Way - Inspection FormCity at •a n
sidealal Sani Sewer Service
:Coimpliance Inspecti
Date 1 - / 1 C7
Name
PID Number
House Number
Alter to Mailing Address
White Copy: Property Owner
Time ,D
Owner /occupant Signature
For Information call 651.47 0.2788
Compliance
Q No foundation drain connection
/c No roof drain connection
o Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
o No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Disk #
o am
1 S pm
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
"a➢
Street Name
Number of stacks
Yellow Copy: City of Eagan
Record Number
Obstruction
Time
Ste•:L 0c)t L�
Phone
Unable to push past
feet
Entered S L at
Inspector Signature
o am
O pm
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
'3C1 C r ^'
i j `j
Length of Service: /1 , r
Final Cleanout: 0
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
N otes f ; ,- ',Su_ ,,,� 7
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
-
Foundation Drains
Roof Drains
City at •a n
sidealal Sani Sewer Service
:Coimpliance Inspecti
Date 1 - / 1 C7
Name
PID Number
House Number
Alter to Mailing Address
White Copy: Property Owner
Time ,D
Owner /occupant Signature
For Information call 651.47 0.2788
Compliance
Q No foundation drain connection
/c No roof drain connection
o Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
o No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Disk #
o am
1 S pm
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
"a➢
Street Name
Number of stacks
Yellow Copy: City of Eagan
Record Number
Obstruction
Time
Ste•:L 0c)t L�
Phone
Unable to push past
feet
Entered S L at
Inspector Signature
o am
O pm
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
'3C1 C r ^'
i j `j
Length of Service: /1 , r
Final Cleanout: 0
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551