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3731 South Hills Way - Inspection FormsCity of EaRao Residential Sanitary Sewer Service Compliance Inspection Date °27. 1 /6 / / iVamek6771, Z 0.4 CY,1 e Disk # PID Number House Number _? / Street Name Alternative Mailing Address / • Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer Sump pump properly piped No sump pump Service Lateral Inspection Findings 4" to 6" Transition: White Copy: Property Owner Time r]/ . C? Owner /Occupant Signature 'am d pm LL]- Length of Service: 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 if hone i 1 For information call 651.47 Obstruction Unable to push past feet Number of stacks Entered 5.1.. at Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Yellow Copy: City of Eagan / J 9. Record Number p am Time 0 O pm nspector Signature Final Cleanout: No Access O No one in ,,,,t( Access to service lateral needed O Inspection refused Pink Copy: SEH Notes _ tes : 0 J 4 �Li rz{!f ) /�f :1 ,„7 — t c- / 1 . 4- J >v /c° C - — , Number Correctly Discharged incorrectly Unknown Total Sump pumps f.:....,_.,._.._.. ....a ---- _ _ . A.,-- Foundation drains Roof drains City of EaRao Residential Sanitary Sewer Service Compliance Inspection Date °27. 1 /6 / / iVamek6771, Z 0.4 CY,1 e Disk # PID Number House Number _? / Street Name Alternative Mailing Address / • Compliance O No foundation drain connection O No roof drain connection O Sump pit not connected to sanitary sewer Sump pump properly piped No sump pump Service Lateral Inspection Findings 4" to 6" Transition: White Copy: Property Owner Time r]/ . C? Owner /Occupant Signature 'am d pm LL]- Length of Service: 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 if hone i 1 For information call 651.47 Obstruction Unable to push past feet Number of stacks Entered 5.1.. at Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Yellow Copy: City of Eagan / J 9. Record Number p am Time 0 O pm nspector Signature Final Cleanout: No Access O No one in ,,,,t( Access to service lateral needed O Inspection refused Pink Copy: SEH Account # 260536 Service Date 08/16/10 Camera inspection of sewer line. Pull & reset toilet. Description Of Service Terms: Due 9/15/2010 PO # Camera inspection of sewer line Remit To: Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 Invoice Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 612 -604 -4285 FAX: 612 -822 -5408 F1D #27- 1025956 City of Eagan/City Dept at: Wayne Schwan? 3419 Coachman Pt Eagan MN 55122 Service At: Michael & Jean (Merle 3731 S Hills Way Eagan MN 55123 Job # 215180 Quantity DUNS #027314893 1 Please Detach and Return with Remittance Check Enclosed [ ] Master Card [ ] Visa [ ] AmExp [ ] Acct # Name on Card Method of Payment Discover [ ] Exp Date Signature Unit Price $215.00 Please pay ft om this Invoice, Thank You Amount Due Amount Paid Balance Due Invoice # Date: Page # A64165 08/16/10 1 of 1 Extended Price Tx $215.00 $215.00 Invoice # A64165 Date : 08/16/10 Account # 260536 City of Eagan /City Dept at: $215.00 Residential Sanitary Sewer Service Compliance Inspection City of Eagn Date / ((, / I 0 Time • Name ear PID Number House Number Alternate Mailing Address Phone owne'''r /Occupant Signature White Copy: Property Owner Disk # O am o pm Street Name Compliance ire No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer 0 Sump Pump properly piped No sump pump 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 Obstruction Unable to push past feet. No Access O No one in o Access to service lateral needed o Inspection refused Service Lateral Inspection Findings Roots Poor Pipe Joints 5-3 i Mineral Deposits 7 0 Sag /Pipe Deflection 7b , 6 t Damaged Pipe Transition 4" to 6" Transition: Number of stacks Entered S L. at m . `� S Length of Service: Final Cleanout: For Information call 651.470.2788 Yellow Copy: City of Eagan Record Number 0 C Time Inspector Signature O am • • o pm L— -/ Pink Copy: Benjamin Franklin Plumbing 651 - 222 -1551 Total Notes i yy Number Discharged Correctly Incorrectly Unknown Sump Pumps Foundation Drains Roof Drains . Residential Sanitary Sewer Service Compliance Inspection City of Eagn Date / ((, / I 0 Time • Name ear PID Number House Number Alternate Mailing Address Phone owne'''r /Occupant Signature White Copy: Property Owner Disk # O am o pm Street Name Compliance ire No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer 0 Sump Pump properly piped No sump pump 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 Obstruction Unable to push past feet. No Access O No one in o Access to service lateral needed o Inspection refused Service Lateral Inspection Findings Roots Poor Pipe Joints 5-3 i Mineral Deposits 7 0 Sag /Pipe Deflection 7b , 6 t Damaged Pipe Transition 4" to 6" Transition: Number of stacks Entered S L. at m . `� S Length of Service: Final Cleanout: For Information call 651.470.2788 Yellow Copy: City of Eagan Record Number 0 C Time Inspector Signature O am • • o pm L— -/ Pink Copy: Benjamin Franklin Plumbing 651 - 222 -1551