4305 Jasper Dr - COC4 City of hp
City Approved: 1.=k:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: y � b J Ct 9 -e y' D
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLTANCE AF T ER C ORREC I IV E 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 corrective repair work under (check all that apply):
City Sanitary Sewer Permit 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 peri9Jkc_cieining or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up ' oot lntrusio a ip /Settlement in Pipe, Other St .
Signature Date
Yellow Copy: City of Eagan (Parcel Fiie)
11 City of Evan
rev 2 23.2090