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800 Ivy Lane - Inspection FormR Sanitary Sewer Service Inspection Date (' L / 2 Name / .: <47 Disk # PID Number 1 -louse Number lei_ Street Name 7/4!! Alternative Mailing Address OwnerlOccupant Signature For information tail 65 i 470.2788 Compliance O No foundation drain connection No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped No sump pump Service Lateral Inspection Findings Roots Poor Pipe Joints j ( °� Mineral Deposits b J t ' c f') Lt ? L( 4 ' ' Sag /Pipe Deflection Damaged Pipe Transition (V A >c ((-IL, .06c- If 1 4" to 6" Transition: Ai r i � Sump pumps Foundation drains Roof drains Total 0 a Time /7 D1_';" cypm • 1 - -� 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 r fN Number of stacks t Entered S L. at )I> Length of Service: /j Number Discharged Correctly Incorrectly Unknown White Copy: Property Owner Yellow Copy: City of Eagan Record Number Phone { r Time C7) S u !' { ,1rrspector Signature Obstruction Unable to push past feet o am �pm a3 No Access O No one in O Access to service lateral needed O Inspection r efused -r- "7 !t[ f 7 Final Cleanout: i N --c, ,A, U - -- 1. ,5 . :% f ' i'f%:;_ L L. t /ier( t ▪ i Pink Copy: SEH