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850 Ivy Lane - Inspection FormSump pumps I t3fN, lks f i\5( 7QtlP 0 0 VA Foundation drains 0 Roof drains 0 City of faun Residential Sanitary Sewer Service Compliance Inspection Date l0 1 1 Name `j y i C LiNv N PID Number. '85 0 House Number Alternative MaiilliingAddress f 'ii J � O White Copy: Property Owner 1 For information call 651.470.2788 Compliance A No foundation drain connection �� No roof drain connection Sump pit not connected to sanitary sewer Sump pump properly piped No sump pump Owner /Occupant Signature Service Lateral Inspection Findings Number of stacks Roots Poor Pipe Joints Mineral Deposits 3° Sag /Pipe Deflection Damaged Pipe Transition ,.)ukfueNv 4" to 6 "Transition: Li 01 AM.4v(,q l � f. Total • Time • O Kern • o pm Disk # Street Name 3 1 -L Lh[! I "J 1 \N LNJE Non - Compliance O Clear water connections to sanitary sewer O Ser vice lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping 1/Ai f ri F s t) A'TII I? X ti ( )u6 t1 0.-J Length_ of Service: Correctly Incorrectly Unknown Record Number A Phone Time Obstruction Unable to push past feet 1 8 • • — Inspe4to Signature Final Cleanout: am 0 pm 5 - 3o �i'Lf No Access O No one in O Access to service lateral needed O Inspection refused Entered S.L at T}• . '< C r f3 1.}.)1/41M Gocu Notes i<} �7 Kt,J ow N (o r r E c 1 i t t--- - AT 110 i- ( s5 7r Coo, i.()L :kinr) kNr) qL? j ro ( tioPA 1! f( 11; p f()c7 , ) Yellow Copy: City of Eagan Pink Copy: SEH