918 Wescott Tr - COC41 City of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Pi operty Address: cS, 1,V _S C_O - A 2 1 - c
COMPLIANCE WITH INIII_AL INSPECT ION
- -Fhis is to certify that the property listed above has been inspected by authorized City personnel on - , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE 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 required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTEr Applicable only if box is checked., lBased on a review of the Sewer Service video inspectionheport on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other,.
City Approved: 7 13 + On_ 1 "f
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2.23 2010