802 Wescott Square - COCCity of Eag ,aIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
ity of Ea ll
City of Eagan, Minnesota
Property Address: ~ � S Uk.C1
COMPLIANCE WIT H INI TIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on Z , 201_O
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
City Sanitary Sewer Permit
City Approved:
Print name
White Copy: Property Owner
n City Plumbing Permit
COMPLIANCE AFIER 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):
NOTE: Applicable only if box is checked: r7Based 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:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010