4483 Clover Lane - COC401P' City of Eap
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City Sanitary Sewer Permit
City Approved: 41ftli E 4
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbr
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: 4 4% Clo Qef
COMPLIANCE WITH INITIAL INSPEC TION
XI This is to certify that the property listed above has been inspected by authorized City personnel on 06 / , 2011
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER COR..RECIIVE 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):
City Plumbing Permit
NOTE: Applicable only if box is checked: Based 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
Yellow Copy: City of Eagan (P arcel F ile)
4111 City of Emil
rev 2 23 2010