4131 Old Sibley Memorial Hwy - COC411 City of Eagan
City of Eagan, Minnesota
Pr'opelty Address: L * 1 �? �t3 S\ `A-e
COMPLIANCE WITH INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on \J , 201_\
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
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):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit City Plumbing Permit
NOTE, Applicable only if box is checked. I ,Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning Of future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
S\ (CO 0 �L
City Approved: _ ■ VV1 l 1 � / \AFA
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2 23. 2090