2217 Liberty Lane - COCCity of Evan
City of Eagan, Minnesota //
Property Address: r f 7 L t 6 xr 1
COMPLIANCE WIT INITIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
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 corrective work was required.
COMPLIANCE AF TER CORREC T IV E WORK PERFORMED
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):
l City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: UBased 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:ti.J4t/E3 r" a
Print name Signature 7Date
White Copy: Property Owner Yellow Copy: City of Fagan (Parcel F ile)
City of Earrr
/G , 201
rev 2.23 2010