4641 1_2 Penkwe Way - COCCity of Eapa
City Approved: cuyan, t> ∎
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 {n 41/4 � P� _l &Ye Lk) (3-
COMPLIANCE WITH INITIAL INSPECIION
„ This is to certify that the property listed above has been inspected by authorized City personnel on 3 k , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF ER CORRECIIVE WORK PERFORMED
n Ihis 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.: I (Based 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, Root Intrusion, Dip /Settlement in Pipe, Other.:
Print name
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of Eapll
rev 2 23 2010