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4267 Diamond Dr - Inspection FormResidential Sanitary Sewer Service Compliance Inspection Time Date 1 �I am � m pm Name'. 11 /9Disk #I PID Number House Number 2 ° )--e2- i Street Name 1 .� I Alternative MailingAddress 4" to 6"Transition: ' }y \ Owner /Occupant Signature Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition White Copy: Property Owner 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 Record Number Time Obstruction Unable to push past feet Service Lateral Inspection Findings Number of stacks Entered S.L.at Roots Yellow Copy: City of Eagan o am • • _ O pm Inspector Signature For 'information call 651.470.2788 Length of Ser vice: Final Cleanout: No Access 0 No one in Access to service lage5al n)1f j d 0 Inspect refused Notes ) /1 I' / ' .. fir; --" -�`= 4 Pink Copy: SE Number Discharged Total Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains Residential Sanitary Sewer Service Compliance Inspection Time Date 1 �I am � m pm Name'. 11 /9Disk #I PID Number House Number 2 ° )--e2- i Street Name 1 .� I Alternative MailingAddress 4" to 6"Transition: ' }y \ Owner /Occupant Signature Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Poor PipeJoints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition White Copy: Property Owner 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 Record Number Time Obstruction Unable to push past feet Service Lateral Inspection Findings Number of stacks Entered S.L.at Roots Yellow Copy: City of Eagan o am • • _ O pm Inspector Signature For 'information call 651.470.2788 Length of Ser vice: Final Cleanout: No Access 0 No one in Access to service lage5al n)1f j d 0 Inspect refused Notes ) /1 I' / ' .. fir; --" -�`= 4 Pink Copy: SE Residential Sanitary Sewer Service Compliance aspect ty of E Date e / --/ / Name PID Number House Number 4 /0(a -- ) Alternate Mailing Address PhonerJ ° r Owner /Occupant Signature For Information call 651.470.2788 Compliance No foundation drain connection No roof drain connection r . O Sump pit not connected to sanitary sewer O Sump Pump properly piped No sump pump Service Lateral Inspection Findings Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to 6" Transition: White Copy: Property Owner Time 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 Number of stacks o am o pm Street Name Length of Service: Yellow Copy: City of Eagan Record Number Time Obstruction Unable to push past feet Inspector Signature Entered S at rscr No Access o No one in O Access to service lateral needed o Inspection refused Final Cleanout: o am o pm Number Discharged Sump Pumps Foundation Drains Roof Drains Total Correctly Incorrectly Unknown Notes Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551 Account # 260536 Service Date 09/27/10 PO # Camera inspection of sewer line Description Of Service Camera inspection of sewer line Ier ms: Due 10/27/2010 Remit To: Benjamin Franklin Plumbing 1424 3rd St N Minneapoils MN 55411 Invoice Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 612- 604 -4285 FAX: 612 -822 -5408 FID #27- 1025956 City of Eagan/City Dept at: Wayne Schwanz 3419 Coachman Pt Eagan MN 55122 Service At: Dawn Stevens 4267 Diamond Dr Eagan MN 55122 Job # 217345 Quantity DUNS #027314893 1 Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Invoice # Date: Page # A66845 09/27/10 1 of 1 Unit Price Extended Price Tx Amount Due Amount Paid $215.00 $215.00 Balance Due $215.00 Please pay from this Invoice. Ihank You Invoice if Date : A66845 09/27/10 Account 260536 City of Eagan /City Dept at: $215,00