4260 Sun Cliff Rd - COCil City of Evan
n City Sanitary Sewer Permit
City Approved: v
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
42-(=, ; Lv (LW, Z)
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
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
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):
NOTE:. Applicable only if box is checked: Based 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 Plumbing Permit
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Signature Date
Yellow Copy: City of Eagan (Parcel File)
City ofEaRail
,20I
rev 2 23 2010