2116 Garnet Lane - COCCity of Emit
n Cit Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaftafl
City of Eagan, Minnesota {{
Property Address: �-� La K(' 1N - 1 CI IA ` �
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC TTVE WORK PERFORMED
C 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 Plumbing Permit
, 201
NOT, Applicable only if box is checked„F on a review of the Sewer Service video inspection /report on file, it is
recommended that er'.' caning or ,future inspections be performed to minimize a potential blockage due to:
Grease Build- „, Root Intrusion, .'ip /Settlement in Pipe, Others '-a - 5 , 3 '
City Approved: t A
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
1
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rev 2 23 2010