1778 Silver Bell Rd - COCCity of Ea al
City of Eagan, Minnesota
Property Address: " `\J 4 &_ \- co Cj_C J
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201i
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
n 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 required corrective repair work under (check all that apply):
Il City Sanitary Sewer Permit U City Plumbing Permit
NOTE: Applicable only if box is checkedilased on a review of the Sewer Service video inspection /report orl file, it is
recommended that periodic cleaning or future inspections be performed to minimize a po n a bloc age due to:
Grease Budd -up, Root Intrusion, Dip /Settlement in Pipe, Other: � 6 `
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTR.ATION
• e '� l 3 j0-1 1 zv I(
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Etall
rev 2 23.2010