1749 Deerwood Dr - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Property Address: 11 q Y` WOO (? 0 4 i V
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 i
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMER
I
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):
fl City Sanitary Sewer Permit -, City Plumbing Permit
NOTE: Applicable only if box is checked.:' I used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perforated to minimize a potential blockage due to :.
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ‘Yom -4A,.
Print name
White Copy: Property Owner
\ A 4tawd±--
Signature
Yellow Copy: City of Fagan (Parcel File)
I V Z
Date
rev 2 23 2010