4703 Penkwe Way - COC411 City of Eapli
SANITARY SEWER SYSTEM
CERT'IFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, Minnesota
Pr operty Address: H P
COMPLIANCE WIIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 16 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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 required corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
City Approved: L.. �
L.. v ` I
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked:[ f 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;
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010