2093 Quartz Lane - COCd City of EaRaa
City of Eagan, Minnesota
Property Address:
COMPLLANCE WITH INITIAL INSPECTION
—This is to certify that the property listed above has been inspected by authorized City personnel on — , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AF TER 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 Plumbing Permit
!City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fat
INFLOW & INFILTRATION
NOTE Applicable only if box is checkedBased 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, Lntrusio Dip /Settlement in Pipe, Other: ( C1
Ciry Approved: 1 tf / 1 �` - /' D / �Y� �j j
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of EapIl
rev 2