1761 Serpentine Dr - COC4 City of Evan
COMPLIANCE WITH INITIAL INSPECTION
; Lillis 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
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):
NOTE Applicable only if box is checked: used 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 for
Grease Build -up, Root intru ion, Di /Settlement in Pipe, Other, ' T' 6, Pr-
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I
City Approved:
City Sanitary Sewer Permit
City of Eagan, Minnesota
Property Address: 1 - 1 Y�:v;
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
I I City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of hp
rev 2 2.3 2010