4660 Cambridge Dr - Inspection Form". City of ha ao
Residential Sanitary Sewer Service
Compliance Inspection
j 1 1
Date j Js� 1 � ' / a' Time
Name r >� i r" ���' ~r w �r�'isk #
PID Number
House Number —, Street Name
a _ f'(, /.'
j irr i / ' c c u p ant Signature
i
Compliance
0. No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findi
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
am
pm
. 7 1 4 ,
Record Number
� � •., _ � �: `� sue'. � ;�"`) e "� �.. '':
Alternative *ding Address Phone
, /1
For information call 651.470.2788
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
a. Defective manholes
0 Sump pump connected to sanitary
iN ewer
Flexible sump pump piping i f
Length of Service:
Obstruction
Unable to push past
feet
Number of stacks Entered 5 L at
Transition
Yellow Copy ty dt a
Inspector Signature
Final Cleanout:
O am
•
Time • o pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Pink Copy; SEH
Number
Correctly
Discharged
Notes
_ � ��� > ;7
f ' J
/ }
1 /� / ` �'C `, .-; - .. !
Total
Incorrectly
Unknown
Sump pumps .,:o'
� 1
•
./
f , ,
, :5
Foundation drains
/
fi '
-.,
Roof drains
"
l
s)
', r r ~ %
t� '
". City of ha ao
Residential Sanitary Sewer Service
Compliance Inspection
j 1 1
Date j Js� 1 � ' / a' Time
Name r >� i r" ���' ~r w �r�'isk #
PID Number
House Number —, Street Name
a _ f'(, /.'
j irr i / ' c c u p ant Signature
i
Compliance
0. No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findi
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
am
pm
. 7 1 4 ,
Record Number
� � •., _ � �: `� sue'. � ;�"`) e "� �.. '':
Alternative *ding Address Phone
, /1
For information call 651.470.2788
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
a. Defective manholes
0 Sump pump connected to sanitary
iN ewer
Flexible sump pump piping i f
Length of Service:
Obstruction
Unable to push past
feet
Number of stacks Entered 5 L at
Transition
Yellow Copy ty dt a
Inspector Signature
Final Cleanout:
O am
•
Time • o pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Pink Copy; SEH