4639 Penkwe Way - Inspection FormSump pumps
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Foundation drains
Roof drains
1
Residential Sanitary Sewer Service
City of Fa i Compliance Inspection
Date 1467/
t
Name i / � e ". /) Disk #
PID Number
House Number Street Name 1 - 77) fj /1- #„f \ ✓_ .
Alternative Mailing Address Phone / .�
- "Owner /Occupant Signature
For: information 'ca11651 470:2788
Compliance
Q 7 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks - Entered S . at
Roots
Poor Pipefoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i« i
Transition °f =fit_
4" to 6" Transition:
White Copy: Property Owner
f
Total
.90 r
Time _ to c
Correctly
am
pm
1
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
r
he ki -cage v _ °' Final Cleanout: ; I i
Number Discharged
Incorrectly Unknown
Record Number 1
11 4 a � ' � am
Time 3( / & pm
A
.J
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
Notes
•
Yellow Copy: City of Eagan r, f Pink Copy: SEH