2221 Liberty Lane - COCCity of Eagan, Minnesota
Propeity Address: of i LI \'r? v La v -
r
COMPLIANCE WIIH INITIAL INSPECTION
. Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
i t
City of Ea oil
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):
City Sanitary Sewer Permit fi City Plumbing Permit
NOTE: Applicable only if box is checked„ used 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 Vim. Ott.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Fagan (Parcel F ile)
City of EapIl
Date
rev 2 23.2010