4823 Richard Lane - COCCity of Emil
City of Eagan, Minnesota
Property Address: L _ 3 2 Ci/ c CA_Vk
COMPLIANCE WIIH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on 1 - 9-, 201 U
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n Ihis 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
NOTE: Applicable only if box is checked; UBased 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
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
❑ City PIumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of Earn
/D
rev. 2.23.