4673 Stonecliffe Dr - COCCity of Evan
City Approved: < v t E (-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address: 4 (y 7 3 S ■,'l C
COMPLIANCE WIIH INITIAL INSPECTION
phis is to certify that the property listed above has been inspected by authorized City personnel on , 201_C
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECIIVE 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 r equired corrective repair work under (check all that apply):
C City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended that per cleaning or future inspections be performed to inimize a p tential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:' 5o c t 0 -e V - e- 'f C - . 0 (I --`
Signature Date
Fi—
Yellow Copy: City of Eagan (Parcel File) rev 2 2 . 3 2010