4766 London Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date s >' f 1 f2 / Ii / Time ; •` r/ 'O pm
Name ,,•� f ! r #
PID Number
House Number - s r;' f'r Street Name
Alternative Mailing Address
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Owner Occ
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer Z't'''A z kA„,"
O Sump pump properly piped
O No sump pump
ant Signature
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Total
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
Correctly
-m-
Number of stacks
Length of Service:
Number Discharged
Incorrectly Unknown
Record Number r }
Notes
Time
Phone : "�
Obstruction
Unable to push past
feet
Final Cleanout:
Oam
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• 0 P
Inspector ,Signature )
afure ) \)
s • •
No Access
O No one in
O Inspection
r efused
Entered 5 L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
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r_ =;fir
For information call 651.470.2788
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SE H