1551 Sherwood Way - Inspection FormResidentia i Sanitary Sewer service
Compliance inspection
Date / ` (, / ! (
Name
PID Number
House Number f S c I
Alternate Mailing Address
Compliance
d No foundation drain connection
q 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 Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Owner /Occupant Signature
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
J O
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
7 S Length of Service:
Yellow Copy: City of Eagan
Record Number 3'
Obstruction
Time
ti •
i
Phone
Unable to push past
feet
d/ ii! y( S 5 S (, C7. f, y _ 9
i i r )
Inspector Signature
O am
O pm
For Information call 651.470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Number of stacks c2 Entered S L. at 5. -L,. c L C_ 1 C)
, (,: 4Tt-_ Final Cleanout: 35
Pink Copy: Benjamin Franklin Plumbing
651-2224551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
rf
Foundation Drains
Roof Drains
L
it
Lr.
Residentia i Sanitary Sewer service
Compliance inspection
Date / ` (, / ! (
Name
PID Number
House Number f S c I
Alternate Mailing Address
Compliance
d No foundation drain connection
q 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 Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Owner /Occupant Signature
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
J O
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
7 S Length of Service:
Yellow Copy: City of Eagan
Record Number 3'
Obstruction
Time
ti •
i
Phone
Unable to push past
feet
d/ ii! y( S 5 S (, C7. f, y _ 9
i i r )
Inspector Signature
O am
O pm
For Information call 651.470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Number of stacks c2 Entered S L. at 5. -L,. c L C_ 1 C)
, (,: 4Tt-_ Final Cleanout: 35
Pink Copy: Benjamin Franklin Plumbing
651-2224551
Sump pumps
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tr '
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�/
r
( e
!
i s
Foundation drains
Roof drains
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Cityal' Ca an
Residential Sanitary Sewer Service
Compliance Inspection
r-° ,/)
Date k / / TT r (�
Name IV)
Disk #
PID Number
House Number ) 6�
Alternative Mailing Address
()owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Total
i .=
Time •
Street Name
Phone 7;:
For information call 651.470.2788
Non - Compliance
0
O
O
O
0
Correctly
am
pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number , r
Time
Obstruction
Unable to push past
feet
Entered S L at
Notes
Final Cleanout:
/
• O am
• o pm
Inspector Signature / e" I )' / ` / (
No Access
O No one in
O Access to service
lateral needed
O Inspection
ref used
Pink Copy: SEH
