2232 Liberty Lane - COCCity of Evan
City of Eagan, Minnesota
Property Address: � (
COMPLIANCE WITH INITIAL INSPEC TION
T his 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 CORREC IIVE WORK PERFORMED
7 Ihis 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 r equired corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked, I (Based 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 to:
Grease Build -up, Root Intrusion, dip /Settlement in Pipe, Other
City Approved: + `tc
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
1
Signature Date
Yellow Copy: City of Eagan (Parcel File)
411 City of EapIl
rev 2.23 2010