3755 Blackhawk Rd - COCdi ff * City of Eapll
COMPLIANCE WIIH INITIAL INSPECTIOT
FA----This is to certify that the property listed above has been inspected by authorized City personnel on - - , 201
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
1 I
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 n City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
^ 1
Pr operty Ada: ess: 2 (2 C
4111 City of Evan
NOTE 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:
Print name
ID - 0 if
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010