3985 Pumice Lane - COCCity of flap
City of Eagan, Minnesota
Property Address: PL, VVA -�
COMPLIANCE WITH INITIAL INSPECTION
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
II
City Plumbing Permit
41 10 / City of Evan
[9 This is to certify that the property listed above has been inspected by authorized City personnel on � - L LJ , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC T IVE 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):
NOTE;. Applicable only if box is checke used 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 pWtenti blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other: / 9-4-1 - ( a-
City Approved:
White Copy: Property Owner
Date
Print name v Signature
Yellow Copy: City of Eagan (Parcel F ile)
aen
rev 2.