1806 Taconite Tr - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: /ae(e) e/u l7E T1?- -
COMPLIANCE WIT 'rI INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 / 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIaE WORK PERFORMED
This is to certify that the propeity 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE..Applicable only if box is checked: ased 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: J1M 1671fil I t '
Print name Sign.'tur Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Ea ail
, 201
rev 2.23 2010