3969 Peridot Path - COCII
City of Eapll
n City Sanitary Sewer Permit
City Approved: LACE A — v �
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 !!! lb° City of Eapu
City of Eagan, Minnesota
Property Address: 39 (c 1 Y- Y i 6 ` Qc L
COMPLIANCE WITH INITIAL INSPECTION
its is to certify that the property listed above has been inspected by authorized City personnel on ` , 20l
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 tbund to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corr ective repair work under (check all that apply):
NOTE: Applicable only if box is checked:FABased 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 of n al b ckage due to.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other. �CJ� v (C
k -t / 3 a-tf
rev 2 23.2010