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