3500-3506 Lexington Ave S - COC41 City of Evan
City of Eagan, Minnesota /�
Property Address: 3S1 0 - 5S O ( L e� ��ar h 1 si -�
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on a -f L , 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
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 City Sanitary Sewer Permit n City Plumbing Permit
NOT�: Applicable only if box is checked: UBased on a review of the Sewer Service video inspection/repott 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
\--\-L. . I
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of Evan
rev 2.232010