4253 Rahn Rd - COC111 City of Eaiall
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of hp
City of Eagan, Minnesota {�
Property Address: � } �. � U est—cg
COMPLIANCE WITH INITIAL INSPECTION
a This is to certify that the property listed above has been inspected by authorized City personnel on — 20
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 3. of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked; used on a review of the Sewer Service video inspection /report on file, it is
recommended that ning militate inspections be performed to minimize a potential blockage due to:
Grease Build -up,4' oot Intrusio Dip /Settlement in Pipe, Other„
malk
w s ®-S.L9Qa —
City Approved: / (t4g / t j � 1 '40 e
Print name Signature Date
rev 2 23.2010