1387 St Andrew Blvd - Inspection FormTotal Correctly Incorrectly Unknown `., (L-__ � ` � � r � ���
Sump pumps ! ,._)
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Foundation drain_ r m ,_
Roof drains -__. ' , 1 ,.-N. ') � ,'.
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41. City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
r i i7.
Date / i 1 ? /
Disk #
PID Number
Name _.
House Number
Alternative Mailing Address
,F
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
o f Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper Owner
-
Time a •
Street Name
i
4(Tf ner /Occupant Signature
am
pm
-LIJ
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
n
Time
Obstruction
Unable to push past
feet
Final Cleanout:
o am
•
• O prn
: )
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
l )
Pink Copy: SEH
Notes
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Number D
Discharged r
41. City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
r i i7.
Date / i 1 ? /
Disk #
PID Number
Name _.
House Number
Alternative Mailing Address
,F
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
o f Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper Owner
-
Time a •
Street Name
i
4(Tf ner /Occupant Signature
am
pm
-LIJ
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
n
Time
Obstruction
Unable to push past
feet
Final Cleanout:
o am
•
• O prn
: )
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
l )
Pink Copy: SEH