1503 Sherwood Way - COCCity of hp
n City Sanitary Sewer Permit
City Approved: Osek
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 15 Sort - E "WOO&
n City Plumbing Permit
NOT1 : Applicable only if box is checked•, 'Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
COMPLIANCE WITH INITIAL INSPECIION
—Ihis is to certify that the property listed above has been inspected by authorized City personnel on " 3 6 , 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 CORREC TIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
v- �. iTZ
/L
Signature Date
Yellow Copy: City of Eagan (Parcel Fite)
City of Eagan
rev 2,232010