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Inspection Form - Compliancy Expires 6/15/2031
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Inspection Form - Compliancy Expires 6/15/2031
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Last modified
8/22/2023 4:05:55 PM
Creation date
6/15/2021 3:25:07 PM
Metadata
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Template:
x Address Old
House Number
2745
Street Name
Shadywood
Street Type
Road
Address
2745 Shadywood Road
PIN
2111723310003
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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 Pie ci i <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 />° <br />'� Ccs►��- C\ ,vc <br />1 <br />\\ <br />�'��- <br />0 <br />110XQN <br />�V <br />Notes: <br />to -LS_ a,0 all - Rsl�ailY� �� Sc h 4b dakj <br />vav'J� how 't\� &04 0. <br />0\\ ► 5 c,�w•-p�� c�,rdr'• <br />
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