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4032 Diamond Pt - Inspection FormsResidential Sanitary Sewer Berke Compliance inspection Date k / `, / Name PID Number Transition 7 House Number Li 0 Time 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 iR i Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Y 3 Damaged Pipe "Owner /Occupant Signature 4" to 6" Transition: White Copy: Property Owner Disk # 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 O am o pm Street Name Record Number Time o am o pm ,( Altemata\Mai dress Phone For Information call 651.470.2788 Number of stacks Length of Service: Yellow Copy: City of Eagan Obstruction Unable to push past feet Inspector Signature Entered S L at L No Access O No one in O Access to service lateral needed O Inspection refused Final Cleanout:: Number Discharged Sump Pumps Foundation Drains Roof Drains Total Correctly incorrectly Unknown Notes Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551 Account # 260536 City of Eagan/City Dept at: Wayne Schwanz 3419 Coachman Pt Eagan MN 55122 Service At: Maxy Meyer den 4032 Diamond Pt Eagan MN 55122 Service Date 09/30/10 PO # Camera inspection of sewer line. Pull & reset toilet. Description Of Service Camera inspection of sewer line Ierms: Due 10/30/2010 Remit 10: Benjamin Franklin Plumbing 1424 3r d St N Minneapoils MN 55411 Invoice Benjamin F anklin Plumbing 1424 3rd St N Minneapolis MN 55411 612- 604 -4285 FAX: 612-822-5408 FID #27- 1025956 Job # 216187 Quantity DUNS #02731489:3 1 Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Unit Price Extended Price Tx Amount Due Amount Paid Invoice # Date: Page # A67247 09/30/10 1 of 1 $215.00 $215.00 Balance Due $215.00 Please pay from this Invoice. Thank You Invoice # Date : A67247 09/30/10 Account# 260536 City of Eagan /City Dept at: $215..00