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3444 Ivy Ct - Inspection Form.. Number Correctly Discharged:: : . •: . Notes — (. //,, / j ,----- • ' i :-J' ,...2. .,--- ,:_-_-_----- / ,...,, ti 7 z 7,- ,...r,..=:. / — ___ , . Total Incorrectly Unknown Sump pumps Foundation drains Roof drains • / c. -247. .. ; ... 4 111 11 ' City fit liago Residential Sanitary Sewer Service Compliance Inspection Date e'-' N ame Z . J)'.--r Disk # M PID Number House Number Alternative flailing Address Na) dwnerlOccupant 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 surnp purnp 4" to 6"Transition: White Copy: Property Owner e am Tim 7 e i s— 0 pm Street Name Non 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 Length of Service: Yellow Copy: City of Eagan Record Number o am Time • 0 Pm Obstruction Unable to push past feet Final Cleanout: Pone /UPI - '?"1/ Inspector Signature , , For information call 651.470.2788 No Access O No one in Access to service lateral needed O Inspection refused Service Lateral Inspection Findings Number of stacks Entered S L at Roots Poor Pipe Joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Pink Copy: SEH Account# 260536 Service Date 08/26/10 PO # Camera inspection of sewer line. Pull & reset toilet Description Of Service Camera inspection of sewer line Remit To: Benjamin Franklin Plumbing 1424 3rd St N Minneapoils MN 55411 Invoice Benjamin Franklin Plumbing 1424 3rd St N Minneapolis MN 55411 612 - 604 -4285 FAX: 612-822-5408 FID #27- 1025956 City of Eagan/City Dept at: Wayne Schwanz 3419 Coachman Pt Eagan MN 55122 Service At: Ellen Snustad 3444 Ivey Crt Eagan MN 55123 Job # 215745 Quantity 1 Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Invoice # Date: Page # A65631 08/26/10 1 of 1 Unit Price Extended Price Tx DUNS #027314893 Terms: Due 9/25/2010 Please pay from this Invoice. Thank You Amount Due Amount Paid $215.00 $215.00 Balance Due $215,00 Invoice # A65631 Date : 08/26/10 Account # 260536 City of Eagan /City Dept at: $215..00 Residential Sanitary Sewer Service Compliance Inspectiort p ity of Ea ait 0 0 Date S. lc p 1 t:"‘ Name E PID Number House Number 34 A Alternate Mailing Address Roots Compliance No foundation drain connection No roof drain connection Sump pit not connected to sanitary sewer Sump Pump properly piped No sump pump Service Lateral Inspection Findings Poor Pipe Joints Mineral Deposits SaglPipe Deflection Damaged Pipe Transition ,�,�� �;� w :•f Disk # Owner /Occupant Signature White Copy: Property Owner Time s'l t S , 4" to 6" Transition: I 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 L �> Street Name Number of stacks Yellow Copy: City of Eagan Record Number ( f 5 S Obstruction Length of Service: )4 r Time Phone Unable to push past feet Inspector Signature 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 Entered S L at - re, , '�F. Final Cleanout: ) Number Discharged Sump Pumps Foundation Drains Roof Drains Total Correctly Incorrectly Unknown Notes Pink Copy: Benjamin Franklin Plumbing 651 - 222 -1551