2205 Liberty Lane - COCCity of Evan
COMPLIANCE WITTI INITIAL INSPECTION
fl This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
This is to certify that the property Iisted 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):
n City Sanitary Sewer Permit pi City Plumbing Permit
NOT: Applicable only if box is checked:I Based 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:
Property Address:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Yellow Copy: City of Eagan (Parcel File)
(A.
Signature Date
City of Eapll
,201_1
rev 2 ,23 2010