1314 St Andrew Blvd - COC411 City of Eagan
COMPLIANCE WITH INITIAL INSPECTION
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
T his is to certify that the property listed above has been inspected by authorized City personnel on ( I 1 l e , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER 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):
n City Sanitary Sewer Permit j 1 City Plumbing Permit
NOTE: Applicable only if box is checked, Based on a review of the Server 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:
Print name Signature
"j/V-4—k—)
City of EaRall
City Approved: � 4 f l ' _ r �r 1 l 2 // 7
Date.
Yellow Copy: City of Eagan (Parcel k ile) rev 2 23 2010