4684 Cambridge Dr - COC41 City of hp
City of Eagan, Minnesota
Property Address: ''#'6 C[),- Vii. - `r i �V i V�
COMPLIANCE WITH INITIAL INSPECTION
"T`his is to certify that the property listed above has been inspected by authorized City personnel on 1 _ , 201 V
and found to be in compliance with Section 3 40 of the City Code and no corrective woik was required.
COMPLIANCE AFIER 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 woik under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked... UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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: t(v'.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
u Signature
( I b- 0 1(
Date
City of Eagan
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010