4755 Cypress Pt - COC40 City of kali
City of Eagan, Minnesota
Pr'operty Address: t L C {�
v`-e' S
COMPLIANCE WITH INITIAL INSPECTION
F-This is to certify that the property listed above has been inspected by authorized City personnel on 1 ra-° , 201C
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
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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):
n City Sanitary Sewer Permit City Plumbing Permit
City Approved: i V\A-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOT.: Applicable only if box is checked: I 'Based on a review of the Sewer Service video inspectionheport on file, it is
recommended that per iodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Signature
Yellow Copy: City of Eagan (Parcel File)
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Date
City of Eagan
rev 2 23 2010