4196 Running Brook Rd - COCd City of Eapll
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City of Eagan, Minnesota
Property Address: g't'O d.0
City Sanitary Sewer Permit n City Plumbing Permit
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE an
INFLOW & INFILTRATION
City of kali
COMPLIANCE WIIH INITIAL INSPECIION
- - This is to certify that the property listed above has been inspected by authorized City personnel on q ° , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
NOTE: Applicable only if box is checked: USased 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 lntrusion, Dip /Set lement in Pipe, Other.;
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Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010