3733 Blackhawk Rd - COC10 City of Eo ll
City of Eagan, Minnesota
Property Address:
COMPLIANCE WIT H INI I TAI. INSPEC I ION
This is to certify that the property listed above has been inspected by authorized City personnel on a-- , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE 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 work under (check all that apply):
L City Sanitary Sewer Permit 1 1 City Plumbing Perrnit
City Approved: 111 ll�i
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
`ION
NO7E.: Applicable only if box is checked: Basedon a review of the Sewer. Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to m'nimie a pote tiakb ocka a due to.,
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: , _ 4 (1), ct\ -
: & 1 a -/0-6 1(
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
411 City of Ea ll
rev. 2 23.2090