4818 Shevlin Ct - Inspection FormCity of Fa an
Residential Sanitary Sewer Service
Compliance Inspection
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Date 1!1 I, 1/{
Name ,ms
Alternative Mailing ddress
Compliance
O No foundation drain connection
O No roof drain connection
8 Sump pit not connected to
/i
sanitary sewer.
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
V
Time
Disk #
PID Number j }
House Number Street Name
OwnerlOcupant Signature
am
pm
L
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
LJ. n
Record Number / " °. � r I
Entered 5. L at
0 am
•
Time • o pm
Phone (:-.2 7 f7 1 l
Inspector Signature \ � ) )4
Obstruction
Unable to push past
feet.
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
1 , - _ .
_
r ,! E r ." i 3 .C r
! �' r '' Y f ` '`
' �
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J
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
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City of Fa an
Residential Sanitary Sewer Service
Compliance Inspection
� A
}}
Date 1!1 I, 1/{
Name ,ms
Alternative Mailing ddress
Compliance
O No foundation drain connection
O No roof drain connection
8 Sump pit not connected to
/i
sanitary sewer.
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
V
Time
Disk #
PID Number j }
House Number Street Name
OwnerlOcupant Signature
am
pm
L
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
LJ. n
Record Number / " °. � r I
Entered 5. L at
0 am
•
Time • o pm
Phone (:-.2 7 f7 1 l
Inspector Signature \ � ) )4
Obstruction
Unable to push past
feet.
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH