4720 Covington Ct - Inspection FormDate
t),4
City of hp
p
Residential Sanitary Sewer Service
Compliance Inspection
Name T "� r31
Disk #
PID Number
House Number
4" to 6"Transition:
Alternative ilingAddress f
/ ji
' L?(
Compliance
O No foundation drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0=: No sump pump
No roof ;frain connection
Service Lateral Inspection Findings
White Copy: Pi opet ty Owner
Time •
/Street Name
OwnerlOccupant Signature
am
pm
si r
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone 4'1 -,
Obstruction
Unable to push past
feet
• o am
Time • o pm
Inspector Signature
Final Cleanout:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps '
i
t V.
Foundation drains
Roof drains
7
Date
t),4
City of hp
p
Residential Sanitary Sewer Service
Compliance Inspection
Name T "� r31
Disk #
PID Number
House Number
4" to 6"Transition:
Alternative ilingAddress f
/ ji
' L?(
Compliance
O No foundation drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0=: No sump pump
No roof ;frain connection
Service Lateral Inspection Findings
White Copy: Pi opet ty Owner
Time •
/Street Name
OwnerlOccupant Signature
am
pm
si r
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone 4'1 -,
Obstruction
Unable to push past
feet
• o am
Time • o pm
Inspector Signature
Final Cleanout:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH