4646 Penkwe Way - COCCity of Eagan, Minnesota
Property Address: �� �`Ell)
COMPLIANCE WITH INITIAL INSPECIION
City of Eag
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
Ihis 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 AF TER CORREC TIVE 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):
n City Sanitary Sewer Permit = City Plumbing Permit
NOTE. Applicable only if box is checked.: LJEased 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 tor
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: Ylrt
Print name
White Copy: Property Owner
1� l r tr o i
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 22.3 2010