4704 Covington Ct - Inspection FormCii o1 E,a u
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Residential Sanitary Sewer Service
Compliance Inspection
Date 01 ! . Time • pm
Disk #
Name ) . ,
f \ 7
PID Number
House Number e' C. / Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
LLJ
Non- Compliance
O Clear water connection 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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Fagan
Record Number
Time
Phone f � _ 1
Obstruction
Unable to push past
feet
Entered 5 L. at
Inspector Signature
Final Cleanout:
0 am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
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%
Foundation drains
Roof drains
Cii o1 E,a u
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 01 ! . Time • pm
Disk #
Name ) . ,
f \ 7
PID Number
House Number e' C. / Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
LLJ
Non- Compliance
O Clear water connection 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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Fagan
Record Number
Time
Phone f � _ 1
Obstruction
Unable to push past
feet
Entered 5 L. at
Inspector Signature
Final Cleanout:
0 am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH