841 Ivy Lane - COCCity of Etall
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
Print name
City of Eagan, Minnesota
41-�
COMPLIANCE WITH INI IIAL 1NSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on � , 201 ()
and found to be in compliance with Section 3. 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE 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 r epair work under (check all that apply):
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: 1 VV-s. - l I ! �3 CJ 1
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eaiall
rev 2,232090