3832 Country Creek Way - COCdl iP * City of Eagan
City of Eagan, Minnesota
Property Address: 3 Cc `u �� CV t t° C (-4,)0L1
COMPLIANCE WITH INITIAL INSPECTION
�is 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 AF TER CORRECTIVE 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 corr ective repair work under (check all that apply):
i
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if bo.x is checked: nBased on a review of the Sewer Service video inspection /report on file, it is
I ecommended 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: 1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
vv.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Emil
1 -3 13 Igo 1
rev 2.23 2010