808 Great Oaks Tr - Inspection FormSump pumps
Foundation drains
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Roof drains
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City of !o
Residential Sanitary Seviiiser Serviice
•
Compliance Inspection
Date /1/F ?/
P .4
Name
House Number
~Pp
0 No sump pump
4" to 6" Transition:
PID Number
Alternative Mailing Addr ess
Compliance
Q" No foundation drain connection
0 No roof drain connection
p- Sump pit not connected to
sanitary sewer
tE). Sump pump properly piped
Owner/Occupant Signature
Ser vice 1, al Inspection Findings
Roots ti••
Transition L I (1
White Copy: Property y Owner
i v } 481/4E -
/ • 0 am
Time 7 • /":-/ 0--p
Disk #
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
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(5,-,
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Street Name
7;(r7" • 2 2. 1 : ( 9 : .
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Phone
____
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For information call 651.470.2788
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 Entered S L at
WPCS
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
4.11)
Record Numb&
Obstruction
Unable to push past
feet
Time 15
•
inspector Signature
/VC
•
•
Final Cleanout:
o pm
om
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
7
Notes —
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- 1 .1 - 1 '4ff'
Pink Copy: SEH