812 Ivy Lane - COCProperty Address:
COMPLIANCE WITH INITIAL INSPECIION
/ahis is to certify that the property listed above has been inspected by authorized City personnel on , 201_O
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
1
City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
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 Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checketh 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 tar
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
White Copy: Pioperty Owner
Print name
City of Eagan, Minnesota
Yellow Copy: City of Eagan (Parcel File)
T J
.3 Signature Date
City of Eagan
- ?_-_,c.)/D--o
rev 2.2.3.2010