3355 Discovery Rd - COCCity of Evan
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White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel I ile)
City of Ea an
City of Eagan, Minnesota
Property Address: j E� 7 t' Ci (,/.• ✓
COMPLIANCE WITH INIIIAL INSPECTION
Ihis 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 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):
n City Sanitary Sewer Permit Fltity 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:
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City Approved( �r ( -� ( O 1 L- (
Print name g � Date
° f ' Si nature
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rev 2 23 2010