1898 Gold Tr - COCCity of 1a an
COMPLIANCE WITH INITIAL INSPECTION
V I— This is to certify that the propetty listed above has been inspected by authorized City personnel on 3--'3 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF I ER CORREC IIVE 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):
!n Cit Sanitary Sewer Permit City Plumbing Permit
NOTES Applicable only if box is checked: '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: i v4N_ 4 t�k,c k•-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Propetty Address: }_ � � 0 CA-2
Signature
Yellow Copy: City of Eagan (Parcel F ile)
4 City of Eapll
Date
rev 2 23 2010