4342 Fox Ridge Ct - COCCity of Emil
II
City Sanitary Sewer Permit
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 -
COMPLIANCE WIT II INITIAL INSPECTION
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 CORREC IIVE WORK PERFORMED
fl 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
40 City of hp
NOT'E.: 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:
\` . / W /ao t (
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23.2010