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City of Fly <br />POINT-OF-SALE SANITARY SEWER INSPECTION <br />Written Report <br />Date PII] No. <br />PROPERTY ADDRESS <br />ADDRES& <br />Person Performing Inspection: <br />Weather Conditions: <br />Approximate Depth of Service: <br />Type & Size of Service: <br />Condition of Service Pipe <br />Please note all connections, fittings, points of concern on service line including infiltration, tree root, cracks, misaligned joints, etc. <br />This report must include a digital copy of the televising. <br />Feet <br />Comment <br />Start from 4" Clean out In NE Corner of Basement <br />Misallgned joints causing infiltration <br />Example: <br />0 <br />1-15 <br />tl <br />Total Footage: <br />Location of discharge point for foundation drain/roof drain/ sump pump: <br />Person's Performing Inspection Signature: Date: <br />