876 Wescott Square - Inspection FormResidential Sanitary Sewer Service
lypII Compliance inspection
Date ° l l 10
Name Jf OH PIN > N 1
PID Number
House Number 2qt Street Name
Alternative Mailing Addr
Owner /Occupanf Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Lk •30
Time • a pm
Disk #
0
-LLJ
N on - Compliance
[�J
scot 5 cv.),VRE
For information. call 65 1.470.2788
Length of Service: ( 3
Yellow Copy: City of Eagan
1
Record Number
Phone _ 612 2 - 2 1 - / 5 9 - 2 -
• o am
Time • Opm
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S L at
ector Signature
No Access
O No one in
O Access to service.
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
r.
Final Cleanout: a Geis
Pink Copy: SEH
Number.
Correctly
Discharged Notes
Total
incorrectly
Unknown
Co›) ( tE• F s , ii3k, N.) , r r ;> _..
i 9, `v L Cs ! 1
Sump pumps
1 05k
tic. 1yl'
Nit I,
Foundation drains
( >
Roof drains
(_)
Residential Sanitary Sewer Service
lypII Compliance inspection
Date ° l l 10
Name Jf OH PIN > N 1
PID Number
House Number 2qt Street Name
Alternative Mailing Addr
Owner /Occupanf Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Lk •30
Time • a pm
Disk #
0
-LLJ
N on - Compliance
[�J
scot 5 cv.),VRE
For information. call 65 1.470.2788
Length of Service: ( 3
Yellow Copy: City of Eagan
1
Record Number
Phone _ 612 2 - 2 1 - / 5 9 - 2 -
• o am
Time • Opm
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S L at
ector Signature
No Access
O No one in
O Access to service.
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
r.
Final Cleanout: a Geis
Pink Copy: SEH