4730 Westminster Cir - COCCity of Eapli
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fot
INFLOW & INFILTRATION
41 City of Evan
City of Eagan,, Minnesota
Pro er ty Address: 4.473 buo_
p
COMPLIANCE `'VIIII INITIAL INSPEC ZION I
T his is to certify that the property listed above has been inspected by authorized City personnel on ` 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLLANCE AF IER 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):
City Sanitary Sewer Permit U City Plumbing Permit
NOTE: Applicable only if box is checked: ased 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, ()then
City Approved: c `� t� CT / J r 2_.
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010