926 Wild Rose Ct - Inspection Formr ity of liapu ..
Residential Sanitary Sewer Service
Inspection
Date 1... //
Name jr
PID Number
House Number 7 Street Name
Alternative Mailing Address
1 -- ,
f
For information .call 651A70.2788
Compliance
foundation drain connection
No roof drain connection
Q Sump pit not connected to
sanitary sewer
:O' Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection L/ (.
Damaged Pipe
LI(
Transition
4" to 6" Transition:
White Copy: Property Owner
Time /(// • Ti../ _
Disk #
Owner / o ccupant Signature
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 Z entered S L at
OrraN
7 (
L-UJJ
Length of Service:
Yellow Copy: City c
SEH
Record Number
Time
Multidisciplined, Single Source
Trusted Solutions
www.,sehinc
•
Phone ' C !, � =
. ''
lrispector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-- u ) •b ock--
q; so 4, 0
J S S " � ' L
Number
Correctly
Discharged
Incorrectly
Lint
Total
Sump pumps
1
Foundation drains
.___:____--- ---- --
Roof drains
.- /
r ity of liapu ..
Residential Sanitary Sewer Service
Inspection
Date 1... //
Name jr
PID Number
House Number 7 Street Name
Alternative Mailing Address
1 -- ,
f
For information .call 651A70.2788
Compliance
foundation drain connection
No roof drain connection
Q Sump pit not connected to
sanitary sewer
:O' Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection L/ (.
Damaged Pipe
LI(
Transition
4" to 6" Transition:
White Copy: Property Owner
Time /(// • Ti../ _
Disk #
Owner / o ccupant Signature
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 Z entered S L at
OrraN
7 (
L-UJJ
Length of Service:
Yellow Copy: City c
SEH
Record Number
Time
Multidisciplined, Single Source
Trusted Solutions
www.,sehinc
•
Phone ' C !, � =
. ''
lrispector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-- u ) •b ock--
q; so 4, 0
J S S " � ' L