4230 Limestone Dr - Certificate of ComplianceCity of Egli
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eakall
City of Eagan, Minnesota
Property Address: -- 0 Lt
COMPLIANCE WITH INITIAL INSPECTION
17 This is to certify that the property listed above has been inspected by authorized City personnel on 3 U , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
pi 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 required conective repair work under (check all that apply):
{T City Sanitary Sewer Permit n City Plumbing Permit
NOTE: only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiodi cleaning or future inspections be performed to m'nimize a potential blockage due to:
Grease Build -up, ' .otIntrusio Dip /Settlement in Pipe, Other: C` '
City Approved: L --
Print name
White Copy: Property Owner
I I '42 ' D �
Signature Date
Yellow Copy: City of Fagan (Parcel F ile)
rev 2 23 2010