861 Wescott Square - Inspection FormCity i1' i;a as
Residential Sanitary Sewer Service
Compliance Inspection
Dates —f / , / I,-'
Name �'.r` Disk#
PID Number
House Number - ? .µms I Str•eelx >� _}
Alternative Mailing Address
Min
For information call 651.470.2788
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 sump pump
Service Lateral Inspection Findings
Roots
Prior Piperj
Sag/Pi
Damaged Pipe
Transition
4
Deposits
e Deflection
4" to 6" Transition:
,--Owner/Occupant Signature
White Copy: Property Owner
Time
.�' `0 pm
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
y �3 k
ILL'?
e9944.7) *I
{ i
Length of Service:
Yellow Copy: City of Eagan
1
Record Number
)
Time
.l ;:lve
Phone , .?
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L.at
Final Cleanout:
0 am
•
• o pm
No Access
O No one in`
Access to service
latera need-50
O Iri's ect"idn
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
MI
Foundation drains
--
MEM
Roof drains
City i1' i;a as
Residential Sanitary Sewer Service
Compliance Inspection
Dates —f / , / I,-'
Name �'.r` Disk#
PID Number
House Number - ? .µms I Str•eelx >� _}
Alternative Mailing Address
Min
For information call 651.470.2788
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 sump pump
Service Lateral Inspection Findings
Roots
Prior Piperj
Sag/Pi
Damaged Pipe
Transition
4
Deposits
e Deflection
4" to 6" Transition:
,--Owner/Occupant Signature
White Copy: Property Owner
Time
.�' `0 pm
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
y �3 k
ILL'?
e9944.7) *I
{ i
Length of Service:
Yellow Copy: City of Eagan
1
Record Number
)
Time
.l ;:lve
Phone , .?
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L.at
Final Cleanout:
0 am
•
• o pm
No Access
O No one in`
Access to service
latera need-50
O Iri's ect"idn
refused
Pink Copy: SEH