1543 Sherwood Way - Inspection FormResidential Sanity y Sewer Service
Compliance Inspection
Date —7 / 1 / t}
Name
PID Number
Alternate Mailing Address
House Number / 5
Time
Owner /Occupant Signatu
Compliance
No foundation drain connection
No roof drain connection
Cy Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
4" to 6" Transition: %j
White Copy: Property Owner
Disk #
{ am
/1) 0 pm
For Information calf 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
m-
Street Name
Yellow Copy: City of Eagan
Record Number /? c )
Obstruction
u
Time
Phone
Unable to push past
feet
Inspector Signature
O am
O pm
cz
No Access
o No one in
o Access to service lateral
needed
o inspection refused
Service Lateral inspection Findin Number of stacks Entered S.L. at ��c c � 0
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection , aimIL
Damaged Pipe
Transition
Length of Service: /06 4'- Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
N otes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
r�
Roof Drains
Residential Sanity y Sewer Service
Compliance Inspection
Date —7 / 1 / t}
Name
PID Number
Alternate Mailing Address
House Number / 5
Time
Owner /Occupant Signatu
Compliance
No foundation drain connection
No roof drain connection
Cy Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
4" to 6" Transition: %j
White Copy: Property Owner
Disk #
{ am
/1) 0 pm
For Information calf 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
m-
Street Name
Yellow Copy: City of Eagan
Record Number /? c )
Obstruction
u
Time
Phone
Unable to push past
feet
Inspector Signature
O am
O pm
cz
No Access
o No one in
o Access to service lateral
needed
o inspection refused
Service Lateral inspection Findin Number of stacks Entered S.L. at ��c c � 0
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection , aimIL
Damaged Pipe
Transition
Length of Service: /06 4'- Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551