4629 1_2 Penkwe Way - COCCity of kali
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 " C
COMPLIANCE WITH INITIAL INSPEC TION ``��
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 4 - 1 201 L3
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORREC TIVE WORD. 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):
White Copy: Property Owner
I
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
NOTE r Applicable only if box is checkedrased 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 oot Intro Dip /Settlement in Pipe, Other: - S _ S �
City Approved: -- / \■ I J / L J / rb
Print name Signature Date •
City of Eapll
rev 2 23 2010