1504 Thomas Lane - COCCity of Eapll
City of Eagan, Minnesota
Property Address: mq jt 4 �ti3.
COMPLIANCE WITH INITIAL INSPECTION
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
This is to certify that the property listed above has been inspected by authorized City personnel on sISFC) 2 20l
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired.
COMPLIANCE AFTER CORRECTIVE 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):
n City Sanitary Sewer Permit p City Plumbing Permit
NOTE: Applicable only if bo is checked„ Based on a review of the Sewer Service video inspection /report 011 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:
Print name
Signs u r Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev. 2.23 2090