4040 Nicols Rd - COCCity of Eagan
City of Eagan, Minnesota
Property Address: 1-1 c0 Ll c Y\ t C U
COMPLIANCE WITH INITIAL INSPEC TION
his 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 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
City Approved: - ti Vvs_
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
4 , 111 '' City otEaaau
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 Intfusion, Dip /Settlement in Pipe, Other:
Signature (Z76--
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010