949 Wescott Tr - COCCity otEapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: G '4P+ - t3( C) \ X 1
COMPLIANCE WAIT INITIAL INSPECIION
R I-This is to certify that the property listed above has been inspected by authorized City personnel on 1 - , 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
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):
Li City Sanitary Sewer Permit City Plumbing Permit
City of Eakau
NOTE: Applicable only if box is checked: OBased on a review of the Sewer Service video inspection /report on file, it A
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,:
City Approved:
Print name
White Copy: Property Owner
'V.-N..- t (
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23 2010