802 Eagan Oaks Lane - COCw
City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
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City of £ail
COMPLIANCE WITH INITIAL INSPECTION
;F'Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked. Based on a review of the Sewer Service video inspection/report on file, it is
recommended that per cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build --up, Root Intrusion, Dip/Settlement in Pipe, Other:
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City Approved: -\ \V
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2,23 2010