3355 Columbia Dr - COC11 City of hp
COIVIPLIANCE WIIH INITIAL INSPECIION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_
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
it
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
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 bloc age due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: S Yin
City Approved: 1 � ` C :L .. / v \ \tx t 3 / J e i t
Print name Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICA - TE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 7 3 - 3`c 4 " CC) 4 -
Yellow Copy: City of Eagan {Parcel F ile)
4 111. City of aan
rev. 2 23.2010