4225 Nicols Rd - COCCity of Ea pi
City of Eagan, Minnesota
Property Address: 1 ( )- C (J.-As ce,,
COMPLIANCE WITH INITIAL INSPECIION
" is to certify that the property listed above has been inspected by authorized City personnel on ' S , 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
LI 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 repait work under (check all that apply):
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 or future inspections be performed to minimize a potential blockage due to:
Grease Brild - -up, Root .Intrusion, Dip /Settlement in Pipe, Other:
SAO—
City Approved: -- k L r
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
.irz)- I(
Yellow Copy: City of Eagan (Parcel Pile)
Date
41 City of Eapi
rev 2 23.2010