4649 1_2 Penkwe Way - COCCity of Eagan, Minnesota f \�
Property Address: ( lf e t 7 D. . V ��
COMPLIANCE WITH INITIAL INSPEC TION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201 C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
1 1
City of Ea ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eatall
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 fl City Plumbing Permit
NOTE: Applicable only if box is checked.: '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:
City Approved: V' PreLIA 1
Date
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2.