4046 Mica Tr - COCt ibfr City of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t)L (o - IV1iC_ \ a
COMPLIANCE WITH INITIAL INSPECTION
RFT his is to certify that the property listed above has been inspected by authorized City personnel on �' J , 201i
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required,
COMPLIANCE AF TER 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 Sanitary Sewer Permit City Plumbing Permit
4, City of Evan
NOTE: Applicable only if box is checked:' Based on a review of the Server 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: 1Q_
Print name
White Copy: Property Owner
L
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010