1765 Serpentine Dr - COC41 City of Ekan
City of Eagan, Minnesota
Property Address:` (05
COMPLIANCE WITH INITIAL INSPEC TION
4 —Th4s-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 AP TER CORRECTIVE 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 n City Plumbing Permit
NOTE.: Applicable only if box is checked :getton a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to inimige a poter{tia blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other :4 X_0
City Approved: -� l 11v\ L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
&u
Signature
Date
City of EaRall
Yellow Copy: City of Eagan (Parcel File) rev. 2.23 -2010