2078 Emerald Lane - COCCity of km
NOTE Applicable only if box is checked: &iced on a review of the Sewer Service video inspection /report on file, it is
recommended that periodi cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusion, ip /Settlement in Pipe, Other: Si= -5 , C;1=() �--
COMPLIANCE WITH INITIAL INSPECZION
- This is to certify that the property listed above has been inspected by authorized City personnel on e ") � 201_C)
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
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 repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
City Approved:
Property Address: - C)1%
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATI'ON
City of Eagan, Minnesota
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rl h t
City of Eagan
rev 2. 2010