4635 1_2 Penkwe Way - COC4,0k City of EapIl
City Approved: J
City Sanitary Sewer Permit
vrti
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Prop exty Address: `� , \MLk
COMPLIANCE WIIII INIIIAL INSPECTION 4 K. This is to certify that the property listed above has been inspected by authorized City personnel on 4 t , 201t
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER CORRECTIVE 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):
n City Plumbing Permit
NOTE: Applicable only if box is checked:1 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:
Cc1,01.
Yellow Copy: City of Eagan (Parcel Tile)
Date
1 0 1 ' City of Evan
14 LIM
rev 2 23 2010