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1874 Gold Tr - COC4 , 16 ' City of EapIl City Approved: Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: 17S C -c COMPLIANCE WITH INITIAL INSPECTION his is to certify that the property listed above has been inspected by authorized City personnel on 201_ and found to be in compliance with Section 3.40 of the City Code and no corrective work was required COMPLIANCE AFIER CORRECTIVE WORK PERFORMED 7 Ihis 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): City Sanitary Sewer Permit City Plumbing Permit NOTE: Applicable only if box is checked,ased on a review of the Sewer Service video inspection /report an file, it is recommended that periodic cleaning or future inspections be performed to minimize a po n bloc age due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: k{, tOh Y �aS erp Signature t Yellow Copy: City of Eagan (Parcel File) Date A lb. City of Evan lj rev. 2.23 2010