4055 Pumice Lane - COCCity of Evan
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on gl20 , 201
d found to be in compliance with Section 3.40 of the City Code and no collective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
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 collective repair work under (check all that apply):
I
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minne to
Property Address: ✓ `'
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked: QBased 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 Approved: c f ' E
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
5
Date
City of Eotall
rev. 2.23 2010