698 Brentwood Lane - Inspection FormSump pumps
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Foundation drains
Roof drains
... City o[ Lapp
Residential Sanitary Sewer Service
Compliance inspection
Datea / .
Name 7/"/".(477: AMY Disk #
PID Number
House Number Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition: k.
White Copy: Pi oper ty Owner
A-
Time 7 : 6
am
0 pm
Length of Service:
Total j Correctly Incorrectly Unknown
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 Discharged
Record Number.
0
Phone
A
Time
7
/"/
/
/inspector Signature
For information call 651.470.2788
Obstruction
linable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S..L. at 1
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
6s /-v c. q
Transition L f
Notes
fr/ c.
L /
"'Fr
4 ,0,-/t-Kic - 121
P o' .15 „1,-0
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Yellow Copy: City of Eagan
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(� f4( ( J,
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•
4-am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH