4872 Knottingham Cir - Inspection Forml T i
City or lag
Residential :.SaI a> Sewer Service
• :compliance Inspection
For Information call 651.470.2788
Compliance
0 - No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Date, - 7 IIr9 I /0
Name
PID Number
IA
House Number
� i f )
Time
Street Name
Alternate Mailing Address Phone
Owner /Occupant Signature
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
I 7 f #3
4" to 6" Transition:
White Copy: Property Owner
Disk #
ito
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
am
0 pm
Number of stacks
*NIL ; 111111.
5
IPA 3 UK
Yellow Copy: City of Eagan
Record Number c2 /c7 407
Obstruction
Length of Service: /a)
Time
J 9 -
1L S T { .{ Y\ c. k n
Unable to push past
feet
Inspector Signature
Entered S L a {tom
`- 1 t
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
1
o am
o pm
Final Cleanout: c..
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1 551
Total C
Notes
p;1 ;
; 4 ,1-,-',,,__1\
�,_.a c
Number D
Discharged N
Correctly i
incorrectly U
Unknown p
Sump Pumps �
Foundation Drains �
/ .
Roof Drains
/
City or lag
Residential :.SaI a> Sewer Service
• :compliance Inspection
For Information call 651.470.2788
Compliance
0 - No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Date, - 7 IIr9 I /0
Name
PID Number
IA
House Number
� i f )
Time
Street Name
Alternate Mailing Address Phone
Owner /Occupant Signature
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
I 7 f #3
4" to 6" Transition:
White Copy: Property Owner
Disk #
ito
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
am
0 pm
Number of stacks
*NIL ; 111111.
5
IPA 3 UK
Yellow Copy: City of Eagan
Record Number c2 /c7 407
Obstruction
Length of Service: /a)
Time
J 9 -
1L S T { .{ Y\ c. k n
Unable to push past
feet
Inspector Signature
Entered S L a {tom
`- 1 t
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
1
o am
o pm
Final Cleanout: c..
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1 551