4028 Rahn Rd - COCCity of Et all
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City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: G_-cX 0 G,e
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
This is to certify that the property listed above has been found to be in compliance with Section 3 40 of he 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:OBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: J i OA_ U —`E'vt / l rek fi / NI 6 [b
Print name �JJ Signature Date
Yellow Copy: City of Eagan (Parcel File)
40F. City of Fault
rev. 2 23. 2090