4629 Penkwe Way - COCCity of Eapll
Property Address:
COMPLIANCE WIIH INIIIAL INSPEC IION
City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
City Plumbing Permit
City of Eapa
This is to certify that the property listed above has been inspected by authorized City personnel on L t .
, 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 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):
NOTE: Applicable only if box is checked: j LjBased 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 otential blockage due to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Other: IPA t ;A-ex c QbZi' 36
C QGSSC bt iL
City Approved: 1 I
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2.23 2010