3647 Windtree Ct - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
i '-
Date��_
Name
Roof drains
Time
White Copy: Proper Owner
Disk #
ccupant Signature
am
pm
Number Discharged
Yellow Copy: City of Eagan
Record Number
m
Time o -� ?® p
—.262 --, & mss
PID Number'_
House Number Street Name _
Phone
Alternative Mailing Address -- - - - _ m _
Inspector Signature
n Hance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
k No sump pu1mP
Service Lateral inspection Findings
- - - Hance Obstruction
Non unable to push past
O Clear water connections to feet
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks / Entered S L at
For information call 651 470:2788
Notes
_— -- Pink Copy: SE H