1698 Walnut Ct - COC4 , 1 City of Eapall
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: tr'}9' pu Cr
1C O1 PLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ( j5 , 201 i
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.:• I Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or inure inspections beperformed to minimize a potential blockage due to:
Grease Build -.up, Root Intrusion, Lee_ t in Pipe, Other:
r
City Approved: jz /
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Eagan
rev 2. 23 2010