2105 Quartz Lane - COCCity of a all
City Approved:
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
keV _ U' I ,,� ti ( / "� D
Print name Signature Date I : (O
Yellow Copy: City of Eagan (Parcel File)
City of EaRall
City of Eagan, Minnesota
Property Address: 0 � �ao,
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COMPLIANCE WITH INITIAL INSPECTION
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44.. This is to certify that the property listed above has been inspected by authorized City personnel on _ 201a
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF I ER CORREC TIVE 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):
NOTE, Applicable only if box 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 --u; Root Inir, ,Sip /Settlement in Pipe, Other: 5- P
rev 2,23 2010