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Compliance Inspection Form - Compliant Expires 03-03-2031
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Compliance Inspection Form - Compliant Expires 03-03-2031
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Last modified
8/22/2023 5:48:24 PM
Creation date
3/3/2021 2:20:15 PM
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x Address Old
House Number
3264
Street Name
North Shore
Street Type
Drive
Address
3264 North Shore Dr
PIN
0811723440001
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Weather Conditions: <br />Approximate Depth of Service <br />Type and Size of Service J <br />Overall Condition of Service Pipe <br />Please note all connections, fittings, points of concern on service line including infiltration, tree root, <br />cracks, misaligned joints, etc. <br />This report must include a digital copy of the televising. <br />Feet <br />Comment <br />Example: <br />0 <br />Start for 4" cleanout in NE corner of Basement <br />1-10 <br />Misaligned joint—Infiltration <br />Notes: <br />
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