1623 Norwood Dr - COCSANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea ail
City of Eagan, Minnesota (�
Pt operty Address: � J _ G Y W CJ ° �J Y 1 �'
COMPLIANCE WITH INIIIAL INSPEC ZION
P ---This is to certify that the property listed above has been inspected by authorized City personnel on HI 201_6
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER C ORREC I IVE WORK PERF ORMED
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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: nBased 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: \ t,Srte
Print name
White Copy: Property Owner
\AfsLA,Liviv--
Signature
Yellow Copy: City of Eagan (Parcel File)
- /Z
Date
","' City of EapIl
rev 2 23 2010