4215 Nicols Rd - COCCity of Eagan, Minnesota
Property Address: ] 5 Th \ 1 . CC)
COMPLIANCE WIIH INITIAL INSPECTION Ta j
rs is to certify that the property listed above has been inspected by authorized City personnel on 1— i , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
City of Ekon
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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: i)Vt \.\U.ls—C-k
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
4 , 1 City of Emil
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/
Signature Date
rev. 2 23 2010