1533 Sherwood Way - Inspection FormR si el a I sa ni a �
ce
atait
Sewer ..e ce
rtspection
Date 7 1/7 1/0
Name S _.
PID Number
House. Number / 5 3
Alternate Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
No sump pump
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
Time
c2
Service Lateral Inspection Findings
4" to 6" Transition:L,cQ_
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
Yellow Copy: City of Eagan
Length of Service: 9 a
Record Number / �
Obstruction
Unable to push past
feet
Time
Inspector Signature
For Information call 651.470.2788
o am
o pm
I
Phone 6 - f — { 3 1
Owner/Occupant Signature
1 csissimimat3c,c ; " / CI
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Number of stacks c Entered St. at s4 vt.,L C. /0
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 -222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
---
Foundation Drains
El
Roof Drains
MINI
R si el a I sa ni a �
ce
atait
Sewer ..e ce
rtspection
Date 7 1/7 1/0
Name S _.
PID Number
House. Number / 5 3
Alternate Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
No sump pump
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
Time
c2
Service Lateral Inspection Findings
4" to 6" Transition:L,cQ_
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
Yellow Copy: City of Eagan
Length of Service: 9 a
Record Number / �
Obstruction
Unable to push past
feet
Time
Inspector Signature
For Information call 651.470.2788
o am
o pm
I
Phone 6 - f — { 3 1
Owner/Occupant Signature
1 csissimimat3c,c ; " / CI
No Access
o No one in
o Access to service lateral
needed
o Inspection refused
Number of stacks c Entered St. at s4 vt.,L C. /0
Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 -222 -1551