1764 Serpentine Dr - COC411 City of Evan
COMPLIANCE WITH INITIAL INSPECTION
Property Address: r i ( ■f' ,.Y
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to he in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC IIVE 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):
City Approved:
C City Sanitary Sewer Permit
NOT..: Applicable only if box is checkedrrased 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 potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others W\-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
❑ City Plumbing Permit
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
rev 2. 2090