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Compliance Inspection Form - Expires 03/08/2031
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Compliance Inspection Form - Expires 03/08/2031
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Last modified
8/22/2023 3:49:41 PM
Creation date
3/9/2021 8:12:26 AM
Metadata
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Address
House Number
2523
Street Name
Kelly
Street Type
Avenue
Address
2523 Kelly Avenue
PIN
2011723120039
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Updated
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Weather Conditions: <br />Approximate Depth of Service <br />Type and Size of Service <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 />140 <br />Misaligned joint—Infiltration <br />0 <br />its <br />S ;C���1 <br />�v <br />Notes: <br />
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