1717 Walnut Cir - COC44100. City of flaoall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATIOi
City of Eagan, Minnesota
Property Address: 11 1 LJ t CIL
COMPLIANCE WIIH INITIAL INSPECTION
WI—This is to certify that the property listed above has been inspected by authorized City personnel on ` I , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was requited
COMPLIANCE AFIER 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):
n City Sanitary Sewer Permit 1 ! City Plumbing Permit
City of Ea a
NOTE, Applicable only if box is checked:1 used 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:
City Approved: —
Print name
White Copy: Property Owner
•
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Signature
Yellow Copy: City of Eagan (Parcel File)
Date
LA \ODA
rev 2 23 2010