1521 Sherwood Way - COCCity of EaRail
City Approved: i
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Fagan, Minnesota j�
Property Address: 1C S keV'_ W00 & � y
COMPLIANCE WITH INITIAL INSPEC IION
g _lhis is to certify that the property listed above has been inspected by authorized City personnel on `L , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
C City Sanitary Sewer Permit 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 -eigaging or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up, oot Intrusion ip /Settlement in Pipe, Other :
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of Call
rev. 2.23,20W
