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4853 WellingtonCt - Inspection Form--".~ Residential Sanitary Sewer Service Inspection �- ity of Date � / V ' / /l Time /[) : Name / - � f// 7 '~��w Disk # PO Number House Number Alternate Mailing Address 9 Roots Compliance mL No foundation dram connection mL No roof dram connection V Sump pit not connected to sanitary sewer ^u/m uxxu�x. Sump Pump properly piped 0 No sump pump Poor Pipe Joints _------ Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition White Copy: Property Owner a am 0 pm L i c( S Lki e /'' 4 up Name ~=~_� � ° Signature Service Lateral Inspection Findings Non-Compliance o Clear water corinections to sanitary sewer o Service lateral defects o Defective manholes n Sump pump connected to sanitary sewer o Flexible sump pump piping Number of stacks Yellow Copy: City of Eagan Record Number Obstruction / 4^|oO^Transition: ~----- Length of Service: / ' y' Time Phone For Information call 651.470.2788 Unable to push past feet Signature n am O pm No Access o Noonein o Access 10 service lateral needed o Inspection refused �^� ��` En��dSLok wv�«. . c _~� Final Cleanout: Pink Copy: Benjamin Franklin Plumbing Total Notes « / , �' ..,/ _ '"r r�, , (�c,-`- L/`~�r'�, _'- ^ .:*— ' �� . --~, , �_ ~ ' .. /� /y . R� �`~�^�^ _ `^� // '�—L//l/«~ Number Discharged Correctly Incorrectly Unknown Sump Pumps ` l/ �^ Foundation Drains �� L^ Roof Drains / `~- --".~ Residential Sanitary Sewer Service Inspection �- ity of Date � / V ' / /l Time /[) : Name / - � f// 7 '~��w Disk # PO Number House Number Alternate Mailing Address 9 Roots Compliance mL No foundation dram connection mL No roof dram connection V Sump pit not connected to sanitary sewer ^u/m uxxu�x. Sump Pump properly piped 0 No sump pump Poor Pipe Joints _------ Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition White Copy: Property Owner a am 0 pm L i c( S Lki e /'' 4 up Name ~=~_� � ° Signature Service Lateral Inspection Findings Non-Compliance o Clear water corinections to sanitary sewer o Service lateral defects o Defective manholes n Sump pump connected to sanitary sewer o Flexible sump pump piping Number of stacks Yellow Copy: City of Eagan Record Number Obstruction / 4^|oO^Transition: ~----- Length of Service: / ' y' Time Phone For Information call 651.470.2788 Unable to push past feet Signature n am O pm No Access o Noonein o Access 10 service lateral needed o Inspection refused �^� ��` En��dSLok wv�«. . c _~� Final Cleanout: Pink Copy: Benjamin Franklin Plumbing