4723 Walden Dr - Inspection Form•
Sump pumps
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drains
• Foundation
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Roof drains
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PID Number
4" to 6" Transition:
City of liap,a3
Residential Sanitary Sewer Service
Compliance Inspection
(-)
Name °
Compliance
O No foundation drain connection
O No roof drain connection
Ci Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Pr oper ty Owner
otal
Disk #
House Number Street Name
Alternative Mailing Address .....
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Owner/Occupant Signature
Service Later al Inspection Findings
Roots
Correctly
Pm
Number of stacks
Incorrectly
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For information call 651.470.2788
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
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Unknown
Yellow Copy: City of Eagan
Record Number
Phone
Time
•
•
o am
o pm
Obstruction
Unable to push past
feet
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A if - I
Inspector Signature Ai 1,
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Entered 5 •L at
Final Cleanout:
Notes
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• • (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SETT