3858 Palisade Way - COC41 , 11 '' City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Min nesota
Property Address: Po__ A 5
COMPLIANCE WII H INIIIAL INSPEC IION
his 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 corrective work was required
COMPLIANCE AF TER CORREC TIVE WORK PERF ORMED
1
4 , 11 ' City of Evan
201
Ihis 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 n 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:
City Approved: \ \' � t,� _ / ILv4 e-L — /
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010