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866 Ivy Lane - Inspection FormsEapa Residential Sanitary Sewer Service Compliance Inspection Date: I l / : Time Alternative Mailing Address 4" to 6 "Transition: Owner /Occupant 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 /(f'. O. am ' f N Cepm Disk # PID Number House Number 4 n (Th Street Name _ For information call 651.470.2788 Non - Compliance O O O O O Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Ser vice: White Copy: Property Owner Yellow Copy: City of Eagan Record Number Phon` „<ec7) ,O /9'� e ?/' /7, _____p_____ 1 ewi`/ /// "'✓ Inspeitor Signature Obstruction Unable to push past feet Entered S L at Notes --A U Ts TO .S C Time Final Cleanout: o am • B O pm L C - .._ M / _sM No Access O No one in r Access to service . lateral needed O Inspection r efused Pink Copy: SEH Total Number Discharged Correctly Incorrectly Unknown Sump pumps Foundation drains Roof drains Eapa Residential Sanitary Sewer Service Compliance Inspection Date: I l / : Time Alternative Mailing Address 4" to 6 "Transition: Owner /Occupant 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 /(f'. O. am ' f N Cepm Disk # PID Number House Number 4 n (Th Street Name _ For information call 651.470.2788 Non - Compliance O O O O O Clear water connections to sanitary sewer Service lateral defects Defective manholes Sump pump connected to sanitary sewer Flexible sump pump piping Number of stacks Roots Poor Pipe joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition Length of Ser vice: White Copy: Property Owner Yellow Copy: City of Eagan Record Number Phon` „<ec7) ,O /9'� e ?/' /7, _____p_____ 1 ewi`/ /// "'✓ Inspeitor Signature Obstruction Unable to push past feet Entered S L at Notes --A U Ts TO .S C Time Final Cleanout: o am • B O pm L C - .._ M / _sM No Access O No one in r Access to service . lateral needed O Inspection r efused Pink Copy: SEH Account# 260536 City of Eagan/City Dept at: Wayne Schwanz 3419 Coachman Pt Eagan MN 55122 Service At: Janine Dehn 866 Ivy LN Eagan MN 55123 Service Date 09/23/10 Camera inspection of sewer line. Pull & reset toilet. Description Of Service PO # Camera inspection of sewer line Invoice Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 612 -604 -4285 FAX: 612 -822 -5408 FID #27- 1025956 Job # 217152 Quantity 1 DUNS #027314893 Terms: Due 10/23/2010 Please pay f'r om this Invoice„ Thank You Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Remit To: Benjamin Franklin Plumbing 1424 3rd St N Minneapoils MN 55411 Invoice # Date: Page # A66837 09/23/10 1 of 1 Unit Price Extended Price Tx Amount Due Amount Paid 8215.00 $215.00 Balance Due 8215.00 Invoice # A66837 Date : 09/23/10 Account # 260536 City of Eagan /City Dept at: 8215 .00 Residential Sanitary Sewer service City o Ea Compliance Inspection Date 03 Name PID Number House Number Alternate Mailing Address j Compliance • -.No foundation drain connection & No roof drain connection Sump pit not connected to sanitary sewer Sump Pump properly piped o No sump pump Time Owner /Occupant Signature Service Lateral Inspection Findings Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection :' }i 7 S Damaged Pipe 7;7 Transition 4" to 6" Transition: } 4 White Copy: Property Owner Disk # 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 o am o pm Street Name Yellow Copy: City of Eagan Record Number �! / < 7 Obstruction Length of Service: 1Jr 1 1 Time Phone Unable to push past feet Inspector Signature Final Cleanout:t 1 o am o pm For Information call 651.470.2788 No Access o No one in o Access to service lateral needed o Inspection refused Number of stacks 0 Entered S . at I 1-11 . s ° -. :1..4'° Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551 Total Notes Number Discharged Correctly Incorrectly Unknown Sump Pumps 1 Foundation Drains Roof Drains Residential Sanitary Sewer service City o Ea Compliance Inspection Date 03 Name PID Number House Number Alternate Mailing Address j Compliance • -.No foundation drain connection & No roof drain connection Sump pit not connected to sanitary sewer Sump Pump properly piped o No sump pump Time Owner /Occupant Signature Service Lateral Inspection Findings Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection :' }i 7 S Damaged Pipe 7;7 Transition 4" to 6" Transition: } 4 White Copy: Property Owner Disk # 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 o am o pm Street Name Yellow Copy: City of Eagan Record Number �! / < 7 Obstruction Length of Service: 1Jr 1 1 Time Phone Unable to push past feet Inspector Signature Final Cleanout:t 1 o am o pm For Information call 651.470.2788 No Access o No one in o Access to service lateral needed o Inspection refused Number of stacks 0 Entered S . at I 1-11 . s ° -. :1..4'° Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551