1712 Davenport Cir - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
111 City of Eap
City of Eagan, Minnesota
Property Address: 1 a 0-\) d - C1'
COMPLIANCE WHIT II INI T IAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
Ihis 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 n City Plumbing Permit
NOTE: Applicable only if box is checked. :° Bas, d 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 Rotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: WS V' L . b — S
City Approved: r t w�' Cu 1
Print name l] Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
ti*C) 11
rev 2 23.2010