1375 St Andrew Blvd - COC411 City of Eapa
COMPLIANCE WITH INITIAL INSPECTION
M1
This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n 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):
City Sanitary Sewer Permit n Cit Plumbing Permit
NOTE: Applicable only if box 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: kiv∎. � .., / '�tiY €L g6 l V c J D6
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Proper Addr ess: �� 1 1-3 - 1V` 8- V (, c ;
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
1D - )020i
rev 2 23 2010