3955 Mica Tr - COC•
City of EaRall
COMPLIANCE WIIH INITIAL INSPECIION
City Approved;)("ZA e ( .il
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr°perty Address: 1 / 7 01/4_ k C_
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 work was required.
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
his 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 t Plumbing Permit
NOTE: Applicable only if bo.x is checked: UBased 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.;
1 \1 n :.: . - 3- 6-77
Signature Date r 1
Yellow Copy: City of Eagan (Parcel File)
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City of Ea all
rev 2.23 2010