1857 Gold Tr - COCCity of Evan
City of Eagan, Minnesota
Property Address: 1. `1 ‘G{. - TV e.. 0
COMPLIANCE WITH INIIIAL INSPECTION
-This 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 44 of the City Code and no corrective work was required
COMPLIANCE AFTER 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOM Applicable only if box is checked: UBased 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, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: ,
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel F ite)
a-6 l i
Date
City of Eapll
rev. 223.2010