1717 Monticello Ave - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of E fall
City of Eagan, Minnesota �
Property Address: 1 \71 \ MO �r jet. E
COMPLIANCE WITH INIIIAL INSPECTION
9 Ihis is to certify that the property listed above has been inspected by authorized City personnel on 1 — , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was requited
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
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 fl City Plumbing Permit
NOTE: Applicable only if box is checked: 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 potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
Print name
White Copy: Property Owner
.., L
Signature
Yellow Copy: City of Eagan (Parcel File)
l l3 PD i l
Date
rev 2,23 2090