942 Wild Rose Ct - Inspection Form4 1111. City Ea ai
y
Residential Sanitary Sewer Service
Compliance Inspection
/
PID Number.
Dated 1
Name : S
House Number
Alternative Mailing Address
C
Own erlOccupgnt \Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
( Sump pump properly piped
0 No sump pump
Transition r /r'
4" to 6 "Transition: 7
White Copy: Property Ownei
�'•_Ci a
Time r • o pm
Street Name
Disk #
•
1
I i ) / 7..
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
Number of stacks 1 7 '4 Entered 5 L at
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Length of Service:
Yellow Copy: City of Fagan
Record Number
'l
Time
•
i
i -
Phone L' 15 i_ ij s E
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
, r
O pm
No Access
O No one in
3 _
Final Cleanout: t/7,
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
EI
- -
Foundation drains
Roof drains
4 1111. City Ea ai
y
Residential Sanitary Sewer Service
Compliance Inspection
/
PID Number.
Dated 1
Name : S
House Number
Alternative Mailing Address
C
Own erlOccupgnt \Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
( Sump pump properly piped
0 No sump pump
Transition r /r'
4" to 6 "Transition: 7
White Copy: Property Ownei
�'•_Ci a
Time r • o pm
Street Name
Disk #
•
1
I i ) / 7..
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
Number of stacks 1 7 '4 Entered 5 L at
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Length of Service:
Yellow Copy: City of Fagan
Record Number
'l
Time
•
i
i -
Phone L' 15 i_ ij s E
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
, r
O pm
No Access
O No one in
3 _
Final Cleanout: t/7,
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH