4841 Shevlin Ct - COC41 City of BayIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fa'
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 9554 " t j1 V t { yl C
COMPLIANCE WITH INITIAL INSPECTION
his 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 corn ective work was required.
COMPLIANCE AF IER 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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit [1 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 performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: VvL L
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel Pile)
4 City of EagaIl
rev 2 23 2010