4316 Beaver Dam Rd - COCCity of hp
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City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
31(, B -eov -e f CAA vv, 2000
COMPLIANCE WI III INIIIAL INSPECTION
ftl This is to certify that the property listed above has been inspected by authorized City personnel on 5 J t , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
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, I jBased 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: 1 \ACk tSk / ,. � / Se
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
m fg6iD -O
Date
4 0 1 ‘ City of Evan
rev 2.23 2010