1598 Norwood Cir - Inspection FormSump pumps
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7701 .,
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Foundation drains
Roof drains
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4_ City of i;a n
Residential Sanitary Sewer Service
Compliance Inspection
Date ft` 1 ql
Name c_./ i r° Disk #
PID Number
House Number
! __�. Street Name
Alternative Mailing Address
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Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
0, No roof drain connection
0 Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
O No sump pump
4" to b" Transition:
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1 f :✓ ter am
Time •
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Non - Compliance
0
O
O
O
pm
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Number of stacks
Service Lateral Inspection Findings Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
White Copy: Property Owner
Record Number J P 1
Notes
Time
Obstruction
Unable to push past
feet
•
Phone ,
Final Cleanout:
o am
o pm
Inspector Signature 1 ) /Via/P/7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Yellow Copy: City of Eagan Pink Copy: SEH
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