1428 Rebecca Lane - COC41 City of Eapii
City of Eagan, Minnesota
Proper tyAddress:
COMPLIANCE WITH INITIAL INSPECIION �- -
g _.:This is to certify that the property listed above has been inspected by authorized City personnel on (0 J, 201 JD
and found to be in compliance with Section 3.40 of the City Code and no corrective wotk 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 r epair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: UBased 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 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 fot
INFLOW & INFILTRATION
, mil- t
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 2, 2010