3967 Mica Tr - COCCity of Evan
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Proper•tyAddress: � ii1 \ ��j ` ,�
COMPLIANCE WITH INIIIAL INSPECTION
5--Ihis is to certify that the property listed above has been inspected by authorized City personnel on 6 , 2011
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 140 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked: aced 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:
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Signature
Yellow Copy: City of Eagan (Parcel File)
/ ' 1 la() It
Date
City of Ea all
rev 2 23 2010