1473 Lake Park Cir - COC4 City of boo
COMPLIANCE WIIH INIIIAL INSPECTION JJ
°- nis is to certify that the property listed above has been inspected by authorized City personnel on i ( 1 201 0
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
NOTE:. Applicable only if box is checked: ,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: Ws- �� L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Ptopetty Address: 1 L n J LCD --
('),,d /VD / s ! ! • 6 1 f
Signature Date
City of Eapll
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010