1738 Palisade Cir - COCCity of Eagan
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 6 3 F
COMPLIANCE WITH INITIAL INSPECTION
X This is to certify that the property listed above has been inspected by authorized City personnel on y/2 , 2015
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
In 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked: Based on a review of the Sewer Ser vice 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;
41. irAl.t.A40 r l
Signa re
Yellow Copy: City of Eagan (Parcel File)
411 City of Emil
Date
rev 2232090