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4765 Penkwe Cir - Inspection Form41111 Ca of flap Residential Sanitary Sewer Service Compliance Inspection Date / / 2 /i kg Name PID Number House Number -. 7 treet Name Alternative Mailing Address f Oviner/Occupant Signature For information call 651.470.2788 Compliance O No foundation drain connection O No roof drain connection Sump pit not connected to • sanitary sewer Sump pump properly piped O No sump pump Service Lateral Inspection Findings 4" to 6"Transition: White Copy: Proper ty Owner /. Time Disk # am Pm 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 Record Number Obstruction Unable to push past feet o am Time • 0 pm Phone 4-7 Inspector Signature No Access O No one in O Access to service lateral needed O Inspection refused Entered 5 L. at Roots Poor joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Length of Service: Final Cleanout: Yellow Copy: City of Fagan Pink Copy: SEH .//),.."-). )27 Number Correctly Discharged Incorrectly Unknown N otes 4. . ,..., (C, /a 1/7 °1 — ' Total Sump pumps ' Foundation drains Roof drains .„-----, .----" ------, .__----- 41111 Ca of flap Residential Sanitary Sewer Service Compliance Inspection Date / / 2 /i kg Name PID Number House Number -. 7 treet Name Alternative Mailing Address f Oviner/Occupant Signature For information call 651.470.2788 Compliance O No foundation drain connection O No roof drain connection Sump pit not connected to • sanitary sewer Sump pump properly piped O No sump pump Service Lateral Inspection Findings 4" to 6"Transition: White Copy: Proper ty Owner /. Time Disk # am Pm 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 Record Number Obstruction Unable to push past feet o am Time • 0 pm Phone 4-7 Inspector Signature No Access O No one in O Access to service lateral needed O Inspection refused Entered 5 L. at Roots Poor joints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition Length of Service: Final Cleanout: Yellow Copy: City of Fagan Pink Copy: SEH .//),.."-). )27