4655 Penkwe Way - COCCity of hp
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota [[ �
Property Address: `e- VC--L6 W .
Yellow Copy: City of Eagan (Parcel File)
City of EaRau
COMPLIANCE WITH INITIAL INSPEC ZION
Ihis 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 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):
n City Sanitary Sewer Permit n City Plumbing Permit
201 0
NOM, Applicable only if box is checkeds ase.don a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a pateAtial blockage due to:
Grease Build-up, Root intrusion, Dip /Settlement in Pipe, Other,: t1i. q 'a
Signature Date
n-
rev 2 23 2010