4236 Jasper Dr - COCCity of Caftall
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 tot
Grease Build -uj oot iztrus Dip /Settlement in Pipe, Other; 40 � 3 ~I (v S l a c
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota {�
Property Address: '4) to C- S p,e,( 1 Y ; v
COMPLIANCE WIITI INI TIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI IER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit L City Plumbing Permit
City Approved: i Vim.
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of 1aan
rev 2 23.2010