4641 Penkwe Way - COCCity of Eagan, Minnesota
COMPLIANCE WIIH INITIAL 1NSPEC HON
City of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATIDN
Property Address:
City of hp
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This is to certify that the property listed above has been inspected by authorized City personnel on 4- , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
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):
City Sanitary Sewer Permit
Print name
White Copy: Property Owner
❑ 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: (/j fJh-O
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23. 2010