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4775 Eriks Blvd - Inspection FormSump pumps • F. - ----' c'' ' - f ,, ¢¢ r. c _., ! l r s Foundation drains Roof drains ..a,. - - f ` /2/0 , , 4 ,0 11 ' City of Ca an Residential Sanitary Sewer Service Compliance Inspection Date i( :)!,. )r! Name PID Number House Number Street Name Alternative Mailing Address Phone (-2__ #'w 41. Z,-2 ( ; ; ;" 2 1 / i \ .� { „r 4” to 6" Transition: White Copy: Proper Owner Ownerlbccupant Signature Compliance O No foundation drain connection No roof drain connection OO Sump pit not connected to sanitary sewer a o Sump pump properly piped y , No sump pump Service Lateral Inspection Findings CIO f Time !c " • /p p Disk # sewer O Flexible sump pump piping Number of stacks Length of Service: For information call 651.470.2788 Non - Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Number Discharged Total Correctly Ineonectl Unknown 1 Record Number Notes Time Obstruction Unable to push past feet Entered S L.at 0 am o pm • • Inspector Signature Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Yellow Copy: City of Eagan Pink Copy: SEH