1632 Sherwood Way - COC411 City of Emil
COMPLIANCE WIIH INIIIAL INSPECIION
*This is to certify that the property listed above has been inspected by authorized City personnel on 1/ /2 , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
NOTE: Applicable only if box is checked: UBased 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
cy
City of Eagan, Minnesota
1 3 2 s
City PIumbing Permit
1,0 of c L &)
/
Signature
7`
Si
Yellow Copy: City of Eagan (Parcel F ire)
City of Eaai
l 2-11C9/10
Date
rev 2