1617 Norwood Dr - COCr
City of Eapll
City Approved: w\ 1Ct. L '•
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (a. 1 ; -1 TI \U 1 1 QUC3
COMPLIANCE WITH INITIAL INSPEC T ION
--This is to certify that the property listed above has been inspected by authorized City personnel on 10 201_C)
and found to be in compliance with Section 3 .40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC 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 City Plumbing Permit
NOTE: Applicable only if box is checked, i '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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 City of Evan
rev. 2 23 2010