1504 Sherwood Way - Inspection FormResidentia Sanitary Sewer Service
Compliance Inspection
Date 6
Name flit se
PID Number
House Number
Alternate Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
Sump Pump properly piped
o No sump pump
Time UCH
Service Lateral Inspection Findings
Roots
Poor Pipe Joints , .3( , I ! i '? 0 1 ,
4" to 6" Transition: idb x_
White Copy: Property Owner
Disk #
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
am
0 pm
Street Name
Length of Service: S
Yellow Copy: City of Eagan
Record Number �2' 3 s 1
Obstruction
Unable to push past
feet.
Time
51 r �. o
Phone ! !!(C Ir�`l
Inspector Signature
For Information call 651.470.2788
Number of stacks C2 Entered S. at 3 ,
lh-
No Access
D No one in
o Access to service lateral
needed
o Inspection refused
O am
o pm
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
/ ,a
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
N otes
Number
Discharged
Correctly
Incorrectly Unknown
Sump Pumps
(
f
Foundation Drains
q
Roof Drains
Residentia Sanitary Sewer Service
Compliance Inspection
Date 6
Name flit se
PID Number
House Number
Alternate Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
Sump Pump properly piped
o No sump pump
Time UCH
Service Lateral Inspection Findings
Roots
Poor Pipe Joints , .3( , I ! i '? 0 1 ,
4" to 6" Transition: idb x_
White Copy: Property Owner
Disk #
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
am
0 pm
Street Name
Length of Service: S
Yellow Copy: City of Eagan
Record Number �2' 3 s 1
Obstruction
Unable to push past
feet.
Time
51 r �. o
Phone ! !!(C Ir�`l
Inspector Signature
For Information call 651.470.2788
Number of stacks C2 Entered S. at 3 ,
lh-
No Access
D No one in
o Access to service lateral
needed
o Inspection refused
O am
o pm
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
/ ,a
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551