4177 Old Sibley Memorial Hwy - COC4 City of Eagan
City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
41 City of Evan
City of Eagan, Minnesota
Property Address: 6 1f 7 7 EtZ 5 ! 6L=Cp _ eU 4L 1 /Wy
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on . f (, , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC I1VE 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):
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: Jmu 7� •�
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2090