1895 Sunrise Ct - COCCity of E i all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41101.
City of Eapll
City of Eagan, Minnesota
Property Address: 1S &A1\ CO
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 6 '' ! 20l
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE : Applicable only if box is checked: nBased 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
/s_o
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010