4353 Jasper Dr - COCCity of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, M i
Property Address: ` 3 Jj �� C =� 0--ex
COMPLIANCE WITII INITIAL INSPECTION
- f This is to certify that the property Listed above has been inspected by authorized City personnel on 1 , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC LIVE WORK PERFORMED
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 conective repair work under (check all that apply):
n City Sanitary Sewer Permit fl City Plumbing Permit
NOM: Applicable only if box is checked: aced on a review of the Sewer. Service video inspection /report on file, it is
recommended that per' s aning or future inspections be performed to minimize a potential blockage due to
Grease Build- up,i'oot Intl usio ip /Settlement in Pipe, Other: 17c
City Approved: i t / �a {" ` I ` �C CO
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 22