3872 Dolomite Dr - COC411 City of Ear
City of Eagan, Minnesota
Property Address: 1 O C) U yvv + Y \
COMPLIANCE WITH INITIAL INSPECTION
s is to certify that the property listed above has been inspected by authorized City personnel on _ 2011
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 cornpleting the required corrective repair work under (check all that apply):
1 1
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit City Plumbing Permit
City of Eaiall
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 apotential blockage due to.:
Grease Build -up, Rort'Intrusion lip /Settlement in Pipe, Other 4.a `M ate' y� L H `Ei �! • �_j E l _. 3.
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 . 23 2010