4774 Eriks Blvd - COCCity of EaRau
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota •
Property Address: 6 -/ - 77 6 ( q E 1 \z 5 J
City Plumbing Permit
41 City of EaRall
COMPLIANCE WITH INITIAL INSPECTION
X This is to certify that the property listed above has been inspected by authorized City personnel on i / ! , 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
p 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 :1 '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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: U t �[� I � , 4 I / -/ /6 / /o
Print name Signature Date `
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010