1749 Davenport Ave - COCCity of bp
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Eagan
City of Eagan, Minnesota
Property Address: r O CA1) {UL0 61-3r -�
COMPLIANCE WIT H INITIAL INSPEC TION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 3 \ , 201
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 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 corr ective repair work under (check all that apply):
Fn City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodie -clee ping or future inspections be performed to minimize a potential blockage due to:
Grease Build -up Rootlntrusion p /Settlement in Pipe, Other:. �5 . Ph'
City Approved: l 11 1, / 4l �.v� �J I / C-/-6 l
S'agnature Date
Yellow Copy: City of Eagan (Parcel F Tie)
rev 22.32010