2144 Jade Pt - COCCity of hp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIMMCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 L 4 L -t - O E-
n City Sanitary Sewer Permit City Plumbing Permit
Yellow Copy: City of Eagan (Parcel Pile)
City of Eap
COMPLIANCE WITH INITIAL INSPECTION
is to certify that the property listed above has been inspected by authorized City personnel on L.- "D"" , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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):
NOTE: Applicable only if box is checked.: used on a review of the Sewer Service video inspection /report on file, it is
recommended that _anodic- ing or future inspections be performed to minimize a potenal blockage due to:
Grease Build - Root Intrusio r /Settlement in Pipe, Other 37 -S �l l - 4 S r --
City Approved: l ` / - (=g. / / c - � . lac ( )
Print name Signature Date
rev 2 23 2010