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4772 Penkwe Cir - Inspection Formatfr City of Elan Residential Sanitary Sewer Service Compliance Inspection Date it 1 r 1 Name 5 -1`` - r °°° ' � g 'y' Disk # PlD Number House Number'- ,. Street Name Alternative Mailing Address ' s - Owner /Occupant Signature Compliance 0 No foundation drain connection No roof drain connection Sump pit riot connected to sanitary sewer — i Sump pump properly piped 'O No sump pump p+' am Time " pm 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 Service Lateral Inspection Findings Number of stacks Roots - Poor Pipe joints Mineral Deposits Sag /Pipe Deflection___ Damaged Pipe Transition 4" to 6 "Transition: White Copy: Property Owner Length of Service: Yellow Copy: City of Eagan Record Number Notes Time ;,4 j. Phone si L Obstruction Linable to push past feet c-- o am • • o pm inspector Signature For information call 651.470.2788 Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Entered S L. at Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps 4 r Foundation drains Roof drains -) atfr City of Elan Residential Sanitary Sewer Service Compliance Inspection Date it 1 r 1 Name 5 -1`` - r °°° ' � g 'y' Disk # PlD Number House Number'- ,. Street Name Alternative Mailing Address ' s - Owner /Occupant Signature Compliance 0 No foundation drain connection No roof drain connection Sump pit riot connected to sanitary sewer — i Sump pump properly piped 'O No sump pump p+' am Time " pm 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 Service Lateral Inspection Findings Number of stacks Roots - Poor Pipe joints Mineral Deposits Sag /Pipe Deflection___ Damaged Pipe Transition 4" to 6 "Transition: White Copy: Property Owner Length of Service: Yellow Copy: City of Eagan Record Number Notes Time ;,4 j. Phone si L Obstruction Linable to push past feet c-- o am • • o pm inspector Signature For information call 651.470.2788 Final Cleanout: No Access O No one in O Access to service lateral needed O Inspection refused Entered S L. at Pink Copy: SEH