1766 Gabbro Tr - COC4 City of Lao
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Evan
City of Eagan, Minnesota
Property Address: rl . (a. Co Co c.36 1D v OM CL
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property fisted above has been inspected by authorized City personnel on , 201_1
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 corrective repair work under (check all that apply):
City Sanitary Sewer Permit fn City Plumbing Permit
NOTE: Applicable only if bor is checked:I Based on a review of the Sewer Service video inspection/report on file, it is
recommended that periodic cleaning or future inspections he performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ) t v !/vt L 1 4 fILL
Print name � 1 Signatu Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23.2010