4637 Cambridge Dr - COCCity of bop
City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 7. j G( � f�t '- ..
COMPLIANCE WITH INITIAL INSPECTION
n This is to certify that the property listed above nas 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
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):
[Td Plumbing Permit
City of Eagan
NOTE: Applicable. only if box is checked: JBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections he performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: : r e-F:e v -D D €ri
Print name
White Copy: Property Owner
Le
Signature
Yellow Copy: City of Eagan (Parcel File)
I
Date
(
rev. 2.23.2010