1680 Sherwood Way - COCCity of Eapll
COMPLIANCE WIIH INIIIAL INSPECTION
I
n City Sanitary Sewer Permit
City Approved: deeliviEg 1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
/6e 6
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
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
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): /
City Plumbing Permit ifj ECTE 1/zc' /Zoi
NOTE: Applicable only if box is checked:. UBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel Fite)
Date
City of Eaiall
/(
rev 2 23.2010