720 Stonewood Rd - COCCity of EaRall
COMPLIANCE WITH INIIIAL INSPEC I ION
-r Ihis is to certify that the property listed above has been inspected by authorized City personnel on t - 5r- , 201L
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
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 n City Plumbing Permit
NOTE:: Applicable only if box is checked., ased on a review of the Sewer Service video inspection /report on fife, it is
recommended that periodic cleaning or future inspections be performed fo minimize o efitial lockage due to: d
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 0 It _'
City Approved : tom. - -..
Print name
White Copy: Pioperty Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
rte:
Pxopepty Address: SA-0 t- crL-0)
r4
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of Evan
p c t I
rev. 2 23.2010