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4645 1_2 Penkwe Way - COCCity of Ea. ll SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: L i - (n C �- -�� _Ll� C 1�� C--N.1 COMPLIANCE WITH INITIAL INSPECIION White Copy: Property Owner COMPLIANCE AFIER CORRECTIVE WORK PERFORMED 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 [ City Plumbing Permit P . This is to certify that the property listed above has been inspected by authorized City personnel on — �l , 201 D and found to be in compliance with Section 3 40 of the City Code and no corrective work was required City of hp NOTE: Applicable only if box is checked :1 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 apotential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: ((11 rr i City Approved: v� l A1�J U` V� / ti � / Print name '' Signature Date Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010