3869 Cinnabar Dr - COCCity of hp
City Approved: ti \`P-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: . 0 C C u ' O `k v
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 corrective work was r equired
COMPLIANCE Al 1 ER C ORREC 1IV E WORK PERFORMED
n 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):
n City Sanitary Sewer Permit Ti 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 periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
\Ae1/4 /
Signature
Yellow Copy: City of Pagan (Parcel File)
Date
City of hp
4 (16 - 1a o t
rev. 2 23,2010