2204 Liberty Lane - COCCity of Evan
City of Eagan, Minnesota
Property Address: Va•—e-V
COMPLIANCE WIIH 1NIII.AL INSPEC IION
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 CORREC TIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
fl City Sanitary Sewer Permit 1 1 City Plumbing Permit
City Approved: 1 Vv` C � k-..
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE Applicable only if box is checked: UBased 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:.
Signature
Yellow Copy: City of Eagan (Parcel File)
3 1' D
Date
4 , 1 City of Evan
,201
rev 2.23 2010