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805 Eagan Oaks Lane - Inspection FormCity Eaa as Residential Sanitary Sewer Service Compliance Inspection Date ✓? i // ,, ►s Name House Number Alternative Mailing Address 4" to 6" Transition: 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 White Copy: Property Owner 1 f • 0 , O am Time rry _ • - 'pm Disk # PJD Number Owner /Occupant Signature Service Lateral Inspection Findings - �— LL1 —CJ J Street Name c ,,- i A+' f 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 Entered S L,at Yellow Copy: City of Eagan Record Number jr " 0 am • Time • 0 pm 'Phone _ I. Inspector Signature For information :call 651.470.278$ Obstruction Unable to push past feet Length of Service: Final Cleanout: Notes . /t - A —}f /47_ No Access O No one in Access to service lateral needed O Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Pink Copy: SEH Number Correctly Discharged Incorrectly Unknown Total Sump pumps i i. 1 Foundation drains Roof drains City Eaa as Residential Sanitary Sewer Service Compliance Inspection Date ✓? i // ,, ►s Name House Number Alternative Mailing Address 4" to 6" Transition: 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 White Copy: Property Owner 1 f • 0 , O am Time rry _ • - 'pm Disk # PJD Number Owner /Occupant Signature Service Lateral Inspection Findings - �— LL1 —CJ J Street Name c ,,- i A+' f 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 Entered S L,at Yellow Copy: City of Eagan Record Number jr " 0 am • Time • 0 pm 'Phone _ I. Inspector Signature For information :call 651.470.278$ Obstruction Unable to push past feet Length of Service: Final Cleanout: Notes . /t - A —}f /47_ No Access O No one in Access to service lateral needed O Inspection refused Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Pink Copy: SEH Account # 260536 City of Eagan/City Dept at: Wayne Schwanz 3419 Coachman Pt. Eagan MN 55122 Service Date 08/12/10 PO # Camera inspection of sewer line. Pull & reset toilet. Description Of Service Camera inspection of sewer line Check Enclosed [ Invoice Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 612 -604 -4285 FAX: 612 -822 -5408 FID#27- 1025956 Tob # 214989 Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Quantity 1 Please Detach and Return with Remittance Remit To: Benjamin Franklin Plumbing 1424 3r St N Minneapolis MN 55411 Service At: Amy Erickson 805 Eagan Oaks Ln Eagan MN 55123 Unit Price Extended Price Tx Amount Due Amount Paid Invoice # Date: Page # A65391 08/12/10 1 of 1 $215.00 $215.00 Balance Due $215.00 DUNS #027314893 Terms: Due 9/11/2010 Please pay fiom this invoice, Thank You Invoice # A65391 Date : 08/12/10 Account # 260536 City of Eagan /City Dept at: $215.,00 Residential Sanitary Sewer Service Compliance Inspection Date c 6 / Pc) Name PID Number House Number OS Alternate Mailing Address Compliance O No roof drain connection Owner/Occupant Signature No foundation drain connection Sump pit not connected to sanitary sewer Sump Pump properly piped 0 No sump pump Time Service Lateral Inspection Findings Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition 4" to 6" Transition: White Copy: Property Owner Disk # o am o pm Street Name 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 //0 Yellow Copy: City of Eagan Record Number Obstruction Unable to push past feet Length of Service: Time Phone /1)-7) .7 C.• inspector Signature No Access O No one in o Access to service lateral needed O Inspection refused Number of stacks j Entered St at — 1. Final Cleanout: 1 I O am o pm Number Discharged Sump Pumps Foundation Drains Roof Drains Total ( 7 / Correctly Incorrectly Unknown N otes Pink Copy: Benjamin Franklin Plumbing 651-222-1551