4247 Rahn Rd - Inspection FormResidential Sani a Sewer Service
ompliance ins a do
Ity of Faaa1
Date /
Name
PID Number
House Number
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
(0 3
1 310 7
Alternate Mailing Address
White Copy: Property Owner
Time
1
Owner /Occupant Signature
Compliance
" i No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
h in
Service Lateral Inspection Findings
4" to 6" Transition:
7 3 4
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
Number of stacks
Length of Service:
Yellow Copy: City of Fagan
Record Number c..2/ 3 2 7 3
Obstruction
Time
Phone
Unable to push past
feet
Inspector Signature
•
O am
O pm
Entered S L at
For Information call 651.470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Final Cleanout: 2
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
R) 4
se
1 7c ,' �r 4 - ,
;
.�
a
a ,. Sir 4 'Z'--
D Al
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
. 0
Foundation Drains
Roof Drains
Residential Sani a Sewer Service
ompliance ins a do
Ity of Faaa1
Date /
Name
PID Number
House Number
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
(0 3
1 310 7
Alternate Mailing Address
White Copy: Property Owner
Time
1
Owner /Occupant Signature
Compliance
" i No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
h in
Service Lateral Inspection Findings
4" to 6" Transition:
7 3 4
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
Number of stacks
Length of Service:
Yellow Copy: City of Fagan
Record Number c..2/ 3 2 7 3
Obstruction
Time
Phone
Unable to push past
feet
Inspector Signature
•
O am
O pm
Entered S L at
For Information call 651.470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Final Cleanout: 2
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
r' City or .Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date 22 I _ , f° /'
/ t : 1
Name /4/./. /e� / - '. /'r Disk #
PID Number /
House Number 47 C/ / Street Name _
Alternative Mailing Address Aj"2 M 1 ) (
For information call .651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Properry Owner
• , o
Time /V •) V o p m
'' Signature
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
LLH
/
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Inspector Signature
Entered S.L.at
Time
Phone ` J/ ' 7
Obstruction
Unable to push past
feet
• o am
• O pm
Final Cleanout:
Notes c
No Access
O No one in
/7` Access to service
lateral needed
O Inspection
refused
y
C
1 .9 ' 1 �€ f? V
/ 2
Pink Copy: SEH
Number Discharged
Correctly incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
r' City or .Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date 22 I _ , f° /'
/ t : 1
Name /4/./. /e� / - '. /'r Disk #
PID Number /
House Number 47 C/ / Street Name _
Alternative Mailing Address Aj"2 M 1 ) (
For information call .651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Properry Owner
• , o
Time /V •) V o p m
'' Signature
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
LLH
/
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Inspector Signature
Entered S.L.at
Time
Phone ` J/ ' 7
Obstruction
Unable to push past
feet
• o am
• O pm
Final Cleanout:
Notes c
No Access
O No one in
/7` Access to service
lateral needed
O Inspection
refused
y
C
1 .9 ' 1 �€ f? V
/ 2
Pink Copy: SEH