925 Yankee Doodle Rd - COCCI y of Eakall
COMPLIANCE WITH INITIAL INSPECTION
City Sanitary Sewer Permit C City Plumbing Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
4 4 1 ,0 1 City of Evan
0
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section .3 ,40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE 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 work under (check all that apply):
NOTE: Applicable only if box is checked: Based 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,:
11 1
Date
City Approved: L Lv\,_ •
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010