4054 Pumice Lane - COCCity of Eapo
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City Sanitary Sewer Permit
White Copy: Property °weer
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
41 City of Eta
City of Eagan, Minnesota
Property Address: ' 0 S QVA -MA i (k 1 (.0—
COMPLIANCE WITH INLIIAL INSPECTION
-This is to certify that the property listed above has been inspected by authorized City personnel on , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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 corrective repair work under (check all that apply):
NOTE Applicable only if box is checked ased on a review of the Sewer Service video inspection /report on file, it is
recommended that peridiv c-le ping or future inspections be performed to mjimize apotential blockage due to
Grease Build -up, oot Intl usio /Settlement in Pipe, Other: q -S
1
City Approved: -.S1 v� 1��� - / 1���� / 3
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23. 2010