683 Brentwood Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
City of Ea iu
Residential Sanitary Sewer Service
Compliance Inspection
/ - . 7 . 1 - 1 ' 4 / Time s • G` ) Pm
Name
PID Number
House Number ti, " 7 Street Name
f ��s � t'
Alternative Mailing Address
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Owner /Occupant Sigra ure
For information call 65 1.470.2788
pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks -__ -) Entered S.L at "
.
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
2 /
Disk #
Total Correctly Incorrectly
Phone +"
Non- Compliance
O Clear water connections to
sanitar y sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: -
Number Discharged
Unknown
Yellow Copy: City of Eagan
Record Number
Lf
N otes
Obstruction
Unable to push past
feet
. • am
Time _ • fl pm
Inspector Signature
/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r' ,
1
final Cleanout: ,-
Pink Copy: SEH