2041 Emerald Lane - COC41 City of Evan
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
fl City Plumbing Permit
City of Eagall
City of Eagan, Minnesota
Property Address: Li 1 E iM V o1& (v `E.
COMPLIANCE WITH INITIAL INSPEC IION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no collective work was required
COMPLIANCE AT TER CORRECIWE 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):
,201 D
NOTE: Applicable only if bo.x is checked:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , • 1 / ing or future inspections be performed to minimize a potential blockage due to:
Grease Build- , Hoot Intrusio t Settlement in Pipe, Other.: - 3 3'I - (v 6
• ! - ./ i e_ — - a
City Approved: 7 3 7 1 \M \ lSJA\ / C ''-'\;V■r-- Atk.A.46 (J I '' I i
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
Oil
rev, 2 2 . 3 2010