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866 Wescott Square - Inspection FormrCity off'Ea Residential Sanitary Sewer Service Compliance Inspection Dat ND Number 4" to 6 "Transition: Name l ) �' ; Disk # House Number �'' ;' ": Street Name _ ✓''� Alternative MailingAddress Compliance O No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O�' Sump pump properly piped 6'' No sump pump Vio 00 : am Time a f pre Owner /Occupant Signature G ; 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 Service Lateral Inspection Findings Number of stacks Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe • —ai 'Transition ! ,: ?i `a Length of Service: Record Number am • —_ 'O Pm 1 Time Phone _ ° _ -ACC For information call 651.4 Obstruction Unable to push past feet i �: Entered S..L..at `` r : � :- ' r -/- Inspector Signature No Access O No one in O Access to service lateral needed O Inspection r efused I -J - Final Cleanout: . _'_•;... "� } White Copy: Property Owner Yellow Copy: City of Eagan ., ; ''if t'1 ` 7 ° py S OH Number Correctly • Disckiarged ; Notes; r 1• ;, . C. / c` -,� f `-- : ?(1 ) r � 2 ` i c j ' J ' � I -- : rf Total Incorrectly Unknown Sump pump Foundation drains Roof drains 1 i. ,•' f te J --..- -- rCity off'Ea Residential Sanitary Sewer Service Compliance Inspection Dat ND Number 4" to 6 "Transition: Name l ) �' ; Disk # House Number �'' ;' ": Street Name _ ✓''� Alternative MailingAddress Compliance O No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O�' Sump pump properly piped 6'' No sump pump Vio 00 : am Time a f pre Owner /Occupant Signature G ; 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 Service Lateral Inspection Findings Number of stacks Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe • —ai 'Transition ! ,: ?i `a Length of Service: Record Number am • —_ 'O Pm 1 Time Phone _ ° _ -ACC For information call 651.4 Obstruction Unable to push past feet i �: Entered S..L..at `` r : � :- ' r -/- Inspector Signature No Access O No one in O Access to service lateral needed O Inspection r efused I -J - Final Cleanout: . _'_•;... "� } White Copy: Property Owner Yellow Copy: City of Eagan ., ; ''if t'1 ` 7 ° py S OH