1532 Sherwood Way - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
iyobolt
Date 1 I I O
Name = ,^
PID Number
House Number 1
Alternate Mailing Address
'bite Copy: Property Owner
Owner /Occupant Signature
Disk #
am
Pm
Street Name
Yellow Copy: City of Eagan
Record Number c7/349O
n
Time
Inspector Signature
o am
O pm
Phone ( ' - G -{ - 5 f 5
Compliance
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Yk
No foundation drain connection
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
Obstruction
Unable to push past
feet
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks 09 Entered S L at < 31 - c, 4L ! ( )
Length of Service: U 3
Final Cleanout:
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
0
Roof Drains
Residential Sanitary Sewer Service
Compliance Inspection
iyobolt
Date 1 I I O
Name = ,^
PID Number
House Number 1
Alternate Mailing Address
'bite Copy: Property Owner
Owner /Occupant Signature
Disk #
am
Pm
Street Name
Yellow Copy: City of Eagan
Record Number c7/349O
n
Time
Inspector Signature
o am
O pm
Phone ( ' - G -{ - 5 f 5
Compliance
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump Pump properly piped
No sump pump
Yk
No foundation drain connection
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
Obstruction
Unable to push past
feet
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Number of stacks 09 Entered S L at < 31 - c, 4L ! ( )
Length of Service: U 3
Final Cleanout:
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551