1505 Pinetree Pass - COC41 City of 6apn
0 City Sanitary Sewer Permit
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City of Eagan, Minnesot
Pt operty Address: / 5
COMPLIANCE WIIH INITIAL INSPECIION
* g . This is to certify that the property listed above has been inspected by authorized City personnel on r?
and found to be in compliance with Section 3.40 of the City Code and no cot *ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 repair work under (check all that apply):
NOTE. Applicable only if box is checked, I lBased 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::
n City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Evan
,201 C
I ` //
Date
rev. 2 23 2010