900 Wescott Square - COCCity of Eapt
City of Eagan, Minnesota
Property Address: C 0 (Q* SC'/
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 3 2016
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVF WORK PERFORMED
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit
NOTE: Applicable only if box is checked, LjBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or facture inspections be performed to minimize a potential 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
n City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
l / `/31
Date
City of Eagan
rev 2 23.2090