1796 Silver Bell Cir - COCCity of Eapa
City of Eagan, Minnesota r� - �y
Property Address: 1'l Q t \�12 �( � —e,A C+ Y CL
COMPLIANCE WITH INITIAL INSPEC LION
4 - - This is to certify that the property listed above has been inspected by authorized City personnel on , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECIIVE 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 City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that perio_dic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build_ up, oat Intr sia - 0/Settlement in Pipe Other: C`l
PG G L 0, - o -C - 'f --� . ` ' " 1' b It - L k()
0,, vv ca,,- R at o r t-
City Approve • _w� 1 1,6A... k, / � /v AZ / 3 �� � i i l
Print name J Signature Date
4 City of Eapil
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010