1473 Lake Park Cir - Inspection FOrmSump pumps .,
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Foundation drains
Roof drains
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4100.
Cif an of Ea
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Residential Sanitary Sewer Service
Compliance Inspection
Date 'I, / jl 'a f _ l
Name
O Sump pump properly piped
O No sump pump
4" to b" Transition:
_/ i � ° Disk #
n
Sump pit not connected to
sanitary sewer
Time ! ! • Jo pm
PID Number
House Number i .'' Street Name ) !i
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Service Lateral Inspection Findings
Total Correctly
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
sewer
O Flexible sump pump piping
Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Incorrectly Unknown
White Copy: Property Owner
Record Number �
i
Phone: T 2), c ,
Liri F1 • o
Time • o p
Obstruction
Unable to push past
feet
Inspector Signature 'V 61 ,47
Entered S,L,at
Notes
J --
/
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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J / 1J • -
Cs" "/°" •
Yellow Copy: City of Eagan Pink Copy: SEH