1551 Sherwood Way - COC4 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: T Jj Yl CA WOO&
COMPLIANCE WIIH INITIAL INSPEC ZION
L A—This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
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 corrective repair work under (check all that apply):
r
1
City Sanitary Sewer Permit ❑ City Plumbing Permit
, 2011J
NOTE: Applicable only if box is checked:Brr5ed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections beperfo med to minimize a potential blockage due to :.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other : - . - i 3
City Approved: �\ 0-1/4AiL � �-� '
._1-- / A l i-o- - l ' / [ i S " /6 I
Print name ') Signature
White Copy: Property Owner Yellow Copy: City of pagan (Parcel File)
Date
City of Eapll
rev 2.23 2010