3467 Trails End Rd - COC!ty of hp
n City Sanitary Sewer 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 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
j jris is to certify that the property listed above has been inspected by authorized City personnel on l , 201
and found to be in compliance with Section 3 40 of the City Code and no conective work was required
COMPLIANCE AF IER CORRECIIVE WORK PERF ORMED
n 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 coirective repair work under (check all that applY):
City Approved: I live 3��
City of Eagan, Minnesota
7Pr (gully Add! QSS: 34 G. j rQ.L k � 'v
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
vv-
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
41 City o[EaQali
rev 2.23 2010