2228 Liberty Lane - COCCity of Ea ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Eapil
City of Eagan, Minnesota "
Property Address: Wl �(J Y t� CJ� V\ '�—
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201._j
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n 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):
City Sanitary Sewer Permit 7 City Plumbing Permit
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 perfo ed to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: ■ "∎_
City Approved: :I\ V. I Ll`. -�
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel Fife)
rev 2 23.2010