4633 1_2 Penkwe Way - COCCity of hp
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbr
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 • V c?-2,vA.iCkA3--e �liC1�
City of Ear,
COMPLIANCE WIIH INITIAL INSPEC HON
.]., This is to certify that the property listed above has been inspected by authorized City personnel on L i - " , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE 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 Plumbing Permit
NOTE,: Applicable only if box is checked: l '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
Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: \P".. L SC3. l +n-� I c)
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel I ile)
rev. 2.23 2010