1569 Lancaster Lane - COCCity of Ea r
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPEC TION
, his is to certify that the property listed above has been inspected by authorized City personnel on 1°
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 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):
1
City Sanitary Sewer Permit n City Plumbing Permit
NOTE; Applicable only if box is checked: F '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: s / 1 C.L. / /t / - O
Signature Date
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellowy Copy: City of Eagan (Parcel File)
4 City of Eapa
rev 2 23 2010