1492 Pinetree Pass - COC4 City of Evan
City of Eagan, Minnesota
Proper ty Add/ ess: L 1 13 1 ""-)-- ( 21 tfv e_7\ -- y , _e-e PcL.s3
COMPLIANCE WIIH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on I r}`l, 201 01
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AT TER CORRECTIVE 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 [ I City 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: Uitt U�` l
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of EaRall
rev 2 23.2010