3882 Palisade Way - COC411 City of EkaIl
City Approved: > .
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White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
*This 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 corr ective work was r equired
COMPLIANCE AF TER CORR.ECIIVE WORK PERFORMED
U 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):
City Sanitary Sewer Permit j I City Plumbing Permit
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Ser vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to;
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
f 6 \ 1 �3,.�. 1_ / 5 ' � ei 1
Signature
Yellow Copy: City of Eagan (Parcel File)
1
Date
City of Eagan
rev 2.232010