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4177 Topaz Dr - Inspection FormCity of hp Residential Sanitary Sewer Service Compliance Inspection Date C: / / .)' ' Alternative Mailing Address O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Mine I D posits Sag /Pi Deflection Damge Pipe Tr' nsition 4" to 6" Transition: White Copy: Property Owner ) • am Time/ i. pm PID Number House Numbed ) 7 Street Name /J t~ I �" � �� / Phone /�' �) — . {.% � Cr / ' OwnerlOccupant Signature For information call 65 Compliance Non- Compliance O No foundation drain connection 0 Clear water connections to Poor'ipeJoi sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping • Service Lateral Inspection Findings Number of stacks Roots D..Qi-W -CLI 747)1\ , Length of Service: Yellow Copy: City of Fagan Record Number Time • • Inspector Obstruction Unable to push past feet . o am O pm lat .l ,nry!eee� O l =ttdfi refused No Access 0 No one in Access to service d Entered S.L.at Final Cleanout: Pink Copy: SEH Number.' Correctly Discharged Incorrectly Notes . Total Unknown Sump pumps -. Foundation drains Roof drains City of hp Residential Sanitary Sewer Service Compliance Inspection Date C: / / .)' ' Alternative Mailing Address O No roof drain connection O Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Mine I D posits Sag /Pi Deflection Damge Pipe Tr' nsition 4" to 6" Transition: White Copy: Property Owner ) • am Time/ i. pm PID Number House Numbed ) 7 Street Name /J t~ I �" � �� / Phone /�' �) — . {.% � Cr / ' OwnerlOccupant Signature For information call 65 Compliance Non- Compliance O No foundation drain connection 0 Clear water connections to Poor'ipeJoi sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping • Service Lateral Inspection Findings Number of stacks Roots D..Qi-W -CLI 747)1\ , Length of Service: Yellow Copy: City of Fagan Record Number Time • • Inspector Obstruction Unable to push past feet . o am O pm lat .l ,nry!eee� O l =ttdfi refused No Access 0 No one in Access to service d Entered S.L.at Final Cleanout: Pink Copy: SEH