4653 Kingsbury Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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Date k
Name
House Number
4" to 6" Transition:
41111
City el Ian
Residential Sanitary Sewer Service
Compliance Inspection
PID Number
Alternative Mailing Address
Disk #
4
, Street Name
Time
/ ,/
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Pr operty Owner
Tota
Correctly
am
Pm
-LL1-
Incor r ectly
Non
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 Discharged
Unknown
Yellow Copy: City of Eagan
Notes
Record Number 4 —
Time
Obstruction
Unable to push past
feet.
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Length of Service: Final Cleanout:
0 am
o pm
inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
V)
7 Lr'. 7 7/
Pink Copy. SEH