4835 Shevlin Ct - Inspection FormSump pumps
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Foundation drains
Roof drains
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City of 1,
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Residential Sanitary Sewer Service
Compliance Inspection
Date
Transition
Name_ ' .. ✓ J ., '" 4 3 ` ie1 � � isk #
PID Number
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House Number :Street Name
Compliance
O No foundation drain connection
No roof drain connection
A
Cf Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Sag /Pipe Deflection
Damaged Pipe
4" to 6"Transition:
White Copy: Property Owner
Owt eriOccupant Signature
Number Discharged
Total
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Time 1 . • 'd pm
Correctly
Incorrectly
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Length of Service:
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
t Sump pump connected to sanitary
sewer
Q Flexible sump pump piping
Unknown
1
Record Number
Notes
•
Time •
Alternative Mailing Address Phone rir .
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Poor Pipe Joints
Mineral Deposits_
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Final Cleanout:
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1 Nom__ -
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No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Yellow Copy: City of Eaga9„ Pink C.opy:`SEH