4880 Steeplechase Way - COCCity of Evan
Pr operty Addr ess: �� C
COMPLIANCE WITH INITIAL INSPEC HON
This is to certify that the property listed above has been inspected by authorized City personnel on ` 5 , 201 C)
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AFTER 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):
Ti City Sanitary Sewer Permit City Plumbing Permit
NOTE.. Applicable only if box is checked: UBased on a r eview 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:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Signature
e cz_y_
Yellow Copy: City of Eagan (Parcel File)
Date
/ 1/ /D r
City of C
rev 2 23.2090