4647 1_2 Penkwe Way - COCCity of Eapa
fl City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of EaRa
City of. Eagan, Minnesota
Properfy Address: LA I Z . P`-Q vti w't W ��
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel an 3 -- , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AID TER CORRECTIVE 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):
NOTE: Applicable only if box is checkerP • 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:
City Approved ' NM. AC:W. - I — 1 f
Print name Signature Date
rev 2 23.2010