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4613 1_2 Penkwe Way - COCCity of hp Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: ( � J r� �- 1111't . COMPLIANCE INITIAL INSPEC ZION Ihis is to certify that the property listed above has been inspected by authorized City personnel on L k — t'* , 2013 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 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): L City Sanitary Sewer Permit n City Plumbing Permit NOTE Applicable only if box is checked.1 '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 apotential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: City Approved: 4 Signature Yellow Copy: City of Eagan (Parcel F ile} Date City of Eapil rev 2.23 2010