4645 Penkwe Way - COCCity of Ea ,an
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address: L 4 4 . 03C.W e W Q
COMPLIANCE WITH INIIIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on - �-- , 201)
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC JIVE 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
44 �
City Approved: `* 5e tl+U / 1 f /72, 10
Print name Signature Date
City Plumbing Permit
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 to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23.2010