4686 Penkwe Way - COC41!!! City of Baran
COMPLIANCE WIIH INITIAL INSPECIION
J his is to certify that the property listed above has been inspected by authorized City personnel on 16 — t C t , 201_6
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
1 1 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 corrective repair work under (check all that apply):
1
City Sanitary Sewer Permit 1 1 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: L Oa.f
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
411 City of Eagan
rev 2 23 2010