2128 Jade Pt - COCCity of Eagall
n City Sanitary Sewer Permit
City Approved: s t
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
City of Eagan, Minnesota j �
Property Address: �" — t"C'l i Yi
COMPLIANCE WI I II INITIAL INSPEC TION
rIS is to certify that the property listed above has been inspected by authorized City personnei on _ t , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORREC JIVE WORK PERFORMED
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):
NOTE: Applicable
recommended that
Grease Build -u
only if box is checkedrised on a r eview of the Sewer Service video inspection /report on file, it is
per • - • siring or future inspections be performed to minimize a potential blockage due to:
oot Intrusion )Dip /Settlement in Pipe, Other: fit to q `� f'
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TIM
AAA- / L/ 1 - L�3
Signature Date
rev 2 23. 2010