1639 Sherwood Way - COC1
City of Eaftall
COMPLIANCE WITH INIIIAL INSPECTION
City Approved: 2Z(
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (^ ° � i ey tAj 66
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 wor was required
COMPLIANCE AF TER CORRECTIVE WORK PERIORMED
Ihis 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 Sanitary Sewer Permit City Plumbing Permit
NOTE:. Applicable only if box is checked: OBased 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:,
L. i)
T
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
City of bp
rev 2 23 2010