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1369 Grace Dr - COCCity of Eanao SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: G V O--Cti. ON/ + V - e— City Sanitary Sewer Permit City Plumbing Permit White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile) 4 City of hp COMPLIANCE WITH INITIAL INSPEC HON Th is 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 required COMPLIANCE AF IER 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.: used on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or, facture inspections be performed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: City Approved: Uv� ii� /1 ! l l ! 6 / O i �3 Print name Signature Date rev. 2 23.2010