1717 Sartell Ave - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota 1 A
Property Address: 1 \ SCLi t A \
COMPLIANCE WITH INI TIAL INSPECIION
,F±This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required.
City of Ea ll
,201
COMPLIANCE AFTER CORRECIEVE WORK PERFORMED
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):
n City Sanitary Sewer Permit E 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 perjodie -e1 ing or future inspections be performed to minim e a potential blockage due to:
Grease Build -up otlntrusion,. 'p /Settlement in Pipe, Other: 4 3,` ��
City Approved:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2.23 2010