1517 Sherwood Way - Inspection FormResidentra i Sanitary Sewer Service
Compliance Inspection
Emir
0
Date 1 / /
Name
PID Number
House Number i 5 7
lternate Mailing Addr s
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
Time
^� Disk #
c- /\
Owner/Occupant Signature
For Information call 651.470.2788
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Tra nsition
4" to 6" Transition:
White Copy: Property Owner
s'3 - C 7
1( am
/1(;) : ,too 0 pm
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
Street Name
Yellow Copy: City of Eagan
Record Number f 3;� �
Obstruction
Unable to push past
feet
Time
Phone
Inspector Signature
Number of stacks Entered S.L. at l Zc.c
Length of Service: Po Final Cleanout:
o am
o pm
- 5\9
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
Total
Number Discharged
Sump Pumps
Foundation Drains
Roof Drains
IN MI
MEM
Correctly
ncorrectly Unknown
Notes
7 . 2
rt
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551