877 Ivy Lane - COCCOMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 16
City of Ea ail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ,1 1 .V 'La
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
Ihis 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 repah work under (check all that apply):
C City Sanitary Sewer Permit 1 City Plumbing Permit
White Copy: Property Owner
NOTE: applicable only if box is checked, used on a eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perf med to minimize a potential blockage due to:
Grease Build -up, . ntrusio , - 'p /Settlement in Pipe, Other.. VM ..+. i ,.►
City Approved': i 1 �
tY pp �yv�
Print name
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 , 1 ' . City of Evan
, 201 Q
rev 2.23.2010