946 Wild Rose Ct - COC41 City of Bar,
COMPLIANCE WITH INITIAL INSPECTION
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: e l L i Co W t ( C &-f (c
his is to certify that the property listed above has been inspected by authorized City personnel on I � , 201 CD
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE 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):
n City Sanitary Sewer Permit 1 f 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 periodic cleaning or future inspections be performed to rninimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved t V�� 4(. ll - / ` YW� L = l taiC3 i / L 13 ( °
Date
Print name v) Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea pil
rev 2 23 2010