4607 Penkwe Way - COCCity of Eapll
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, { Minnesota
Property Address: "`i c b" P-eA cw-e 033..
City of 1ap
COMPLIANCE WIIHt INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 3'_ . , 201 0
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
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 checked: [JBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections bepeiformed to minimize a potential blockage due to.:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
4 l s7a` f0 1 t0
l Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2070