894 Wescott Tr - COC411,11 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
op
Prerty Address: w (JAS
S
COMPLIANCE WHET INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 ' 200
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE Al TER CORRECTIVE WORK PERFORMED
n Ihis 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: used 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:
City Approved: I
White Copy: Property Owner
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
rev 2 23 2010