4695 Penkwe Way - COC4 City of Eagan
City of Eagan, (M� Minnesota
Propet t Address: 1 '-f (��{ T'-€ VL. W
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on / D fi t, 201_6
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 Iisted 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 I 1 City Plumbing Permit
White Copy: Property Owner
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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
City Approved:
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
) / 3( -1
Date
City of Eapil
rev 2 23.2010