4282 Jasper Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name /‘f f f� !r Di
Alternative Mailing Address
.1 r r
Jll /I l / t ; l! G i
OwnerlOcu antp azure
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
,ter
Time /( :
am
0 pm
PID Number
r'
House Number .r-i Street Name
For information call .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
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks 1 Entered S.L at ! �- / 3 1 -_
1
Roots :•-� '
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
• Time —' A
Notes
5 ) f J
Phone.'
inspector Signature
Obstruction
Unable to push past
feet
; nal Cleanout:
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
■
•
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Yellow Copy: City of Eagan G ? )-5 r r y Pink Copy: SEH