1567 Sherwood Way - COCCity of Email
n City Sanitary Sewer Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 , I/ '' City of Et at
l
City of Eagan, Minnesota
Property Address: 51:1 S 'eCl WOO ( G._
COMPLIANCE WIIH INI IIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on 201 0
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 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):
7 City Plumbing Permit
NOTE: Applicable only if box is checked„ ased on a review of the Sewer Service video inspection /report on, file, it is
recommended th r • .: - • r ning or future inspections be performed to minimize a potential blockage due to:
Grease Build -.: t • ettlenrent in. Pipe, Other: f Q 6.SS i 101-e_.)
City Approved: l_.W� IJ� l �° JO f (�
Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2.23 2010