2216 Liberty Lane - COCCity of Emil
COMPLIANCE WITH INITIAL INSPECTION
"'This 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 AFTER CORRECIIVE 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):
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pt ()petty Address: " � Ct v —
fn 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: v \r, i. "� �.. I`1 v�-< y— j l I
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 City of Eapll
rev 2 23 2010