1869 Gold Tr - COC41 City of Eapn
City of Eagan, Minnesota
Propelty Address: 1 L\ Q 1 6 1
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on - a - - , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOT.: Applicable only if box is checked: 1Based on a r eview 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: \ V kj / ivY
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eagan
rev. 2 23 2010