796 Wescott Square - COCCity of kali
City Sanitary Sewer Permit n City Plumbing Permit
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Eatall
City of Eagan, Minnesota
Property Address: co •t\ Lko_
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on q , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
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):
NOTE: Applicable only if box is checked: I Based on a review of the Sewer Service video inspectionheport 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:
City Approved: � VY1 1�
Print name
White Copy: Property Owner
vv- q
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010