1749 Palisade Cir - COCcity of Eapli
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of EapIl
City of Eagan, Minnesota
Property Address: fl
COMPLIANCE WIIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on �'S 201(
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE 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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if bo.x is checked: teased on a review of the Sewer Service video inspection /report on file, it is
recommended than p iodic cleaning or future inspections be performed to minimize a pot l blockage due to:
Grease Build -up, , otdntrusion ip /Settlement in Pipe, Other: �. LiPOSS 1
City Approved: �1 Vv` l l vv_. /
II Date
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 .23 2010