2167 Garnet Dr - COCCity of Eagall
COMPLIANCE WITH INITIAL INSPEC TION
I
City Approved: ;AA_ S
Print name
White Copy: Property Owner
City Sanitary Sewer Permit n City Plumbing Permit
Signature
City of Eagan, Minnesota
Proper Address:
Yellow Copy: City of Eagan (Parcel File)
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
C!
Date
City of hp
This is to certify that the property listed above has been inspected by authorized City personnel on Li , 201
and found to be in compliatce with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
n 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 corrective repair work under (check all that apply):
NOTE: Applicable only if box is checked: - 4ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or uture inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: "1 7 -
rev 2 23.2010