1228 Town Centre Dr - COC4Pik City of Baran
Property Address: 1 — 0
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on , 2011
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
n 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
NOM, Applicable only if box is checked, ased on a review of the Sewer .Ser vice video inspection /report on file, it is
recommended that periodic cleaning of 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
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
City of kali
rev 2 23 2010