4773 London Lane - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota f
Proper (
ty Address: r l 73 L 0- ` .,,_ k O MPLIANCE WII H INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
City of hp
,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
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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE:. Applicable only if box is checked':1 JBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfornaed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
! .,., Z i I /jam^ Le
Print name ! Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
I 1 {fa' if
Date
rev 2.23 2010