3321 Mike Collins Dr - COCCity of Emil
City Approved: Vvt L'
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City of Eagan, Minnesota
PrapertyAadress:� �i�C}� �1 {t
COMPLIANCE WITH INITIAL INSPECTION \
This is to certify that the property listed above has been inspected by authorized City personnel on c� ° C 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
This is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair wank under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE. Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Emil
rev 2 23 2010