4617 Kingsbury Dr - COCCity of EaRao
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTI?ATION
City of Eagan, Minnesota
Property Address: ‘ Or } v\'e...
COMPLIANCE WIIH INITIAL INSPECTION �J
This is to certify that the property Iisted above has been inspected by authorized City personnel on / // l , 201 0
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
City of Evan
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if bo.x is checked: (Based 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: �J ! Ud / G / 12_41 j i c
Signature Date !E
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010