4825 Eriks Blvd - COC41 City of Eapa
City of Eagan, Minnesota
Property Address: L k V4 E G\ `1
COMPLIANCE WIIH INITIAL INSPECTION
4 ...This is to certify that the property listed above has been inspected by authorized City personnel on 10 °
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
COMPLIANCE AFTER 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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: FIBased 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:
. vv. A L
Print name
/ l3 C� c3C) l C1
Signature
Date
Sg i
Yellow Copy: City of Eagan (Parcel File)
411 City of Baran
rev. 2 23.2010