4272 Jasper Dr - COC411 City of Eapn
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
111 City of Eagall
City of Eagan, Minnesota
Property Address: L }`)- 1- 1 ._�Cs�S p 0'U'
COMPLIANCE WIT H INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on 1 , 20P
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC JIVE WORK PERFORNIEI)
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):
n City Plumbing Permit
NOTE Applicable only if box is checked ased 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, trarrn trusion Dip /Settlement in Pipe, Other :. 6:7 .
City Approved: / )`— 4r1 /
Print name V Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010