1688 Galway Lane - COCCity of Evan
fn City Sanitary Sewer Permit
City Approved: Vim -L�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota -
Property Address: ( cJ t,�}CLL La Ika_.
COMPLIANCE WIIH INITIAL INSPECIION (�
PI This is to certify that the property listed above has been inspected by authorized City personnel on S - , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF 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 corrective repair work under (check all that apply):
City Plumbing Permit
NOTE: Applicable only if box is checked: j Based 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 Pile)
City of Evan
Date
rev. 2 2.3. 2010