4856 Windsor Ct - COC411 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, Minnesota
Property Address: 1 4 L Ltd v CO L`.S `
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by author ized City personnel on Q
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE.: Applicable only if' box is checked.:1 [.Based on a review of the Sewer Set vice 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, Boot Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
L v ifr / -/ 3'"'7 - 6 i t
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23.2010