4206 Nicols Rd - COC4 , 11/ City of Evan
COMPLIANCE WIIH INITIAL INSPECTION
`'This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corrective work was tequiaed
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
City Approved: 1 OA_
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: LA b l CO VS ti'i (7.4
NOTE Applicable only if box is checked; eased on a review of the Sewer Service video inspection /report on file, it is
r ecommended that periodic cleaning or future inspections beperformed to minimize a potential blo age due to:.
Grease Build -up, RootIntrusio Dip /Settlement in Pipe, Other:
S1o)
Signature Date
Yellow Copy: City of Eagan (Parcel Pile)
City of Eapn
, mod(
,201 It
rev 2 23.2010