868 Wescott Square - Inspection FormClty of Eapti
Residential Sanitary Sewer Service
Compliance Inspection
Date (' ;mil l fc
Name ,_J7
PID Number
House Number
Alternative Mailing Address
/7
4" to 6 "Transition:
s�
//
Compliance
O No foundation drain connection
O No roof drain connection
y 9-/Sump pit not connected to
\ sanitary sewer
Sump pump properly piped
O No sump pump
/ • 0 am
Time .) .• 6. E - pm
Disk #
Street Name
OwnerlOccrl`pant Signature
i'
i 9
y ,
P j: ?':R� rl
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition .
Length of Service:
White Copy: Property Owner
Yellow Copy: City of Gaga
"sue =.�
i Li]
Record Number
Time
Obstruction
Unable to push past
feet
-1
J f Inspector Signature
Entered S L.at�r,'
Phone
� it) / , A
r/, f
Notes
• O am
• Opm
l - f; 1.+ '.'✓ CAS ( F
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
f
4 Pink Copy: SEH
yF I.',, ° 4l � /it; :Y7 --
. Number Discharged
Total
Correctly
lncorrect €y
Unknown
Sump pumps
Foundation drains
Roof drains
------
- —°—
Clty of Eapti
Residential Sanitary Sewer Service
Compliance Inspection
Date (' ;mil l fc
Name ,_J7
PID Number
House Number
Alternative Mailing Address
/7
4" to 6 "Transition:
s�
//
Compliance
O No foundation drain connection
O No roof drain connection
y 9-/Sump pit not connected to
\ sanitary sewer
Sump pump properly piped
O No sump pump
/ • 0 am
Time .) .• 6. E - pm
Disk #
Street Name
OwnerlOccrl`pant Signature
i'
i 9
y ,
P j: ?':R� rl
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition .
Length of Service:
White Copy: Property Owner
Yellow Copy: City of Gaga
"sue =.�
i Li]
Record Number
Time
Obstruction
Unable to push past
feet
-1
J f Inspector Signature
Entered S L.at�r,'
Phone
� it) / , A
r/, f
Notes
• O am
• Opm
l - f; 1.+ '.'✓ CAS ( F
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
f
4 Pink Copy: SEH
yF I.',, ° 4l � /it; :Y7 --