4663 Penkwe Way - COCCity of Ca ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Etan
City of Eagan, Minnesota
Property Address: 9 i��C U.l °� W
COMPLIANCE WITH INITIAL INSPEC HON
1
this is to certify that the property listed above has been inspected by authorized City personnel on t , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF ER CORRECTIVE WORK PERFORMED
7 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):
Cit Sanitary Sewer Permit 1 City Plumbing Permit
NOTE, Applicable only if box is checked: nBased 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
City Approved: ■ / � �., U 1 I lr l _ey l C�
Print name Signature 1!! Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010