1921 Gold Tr - COCg
City of Eagan, Minnesota
Pi operty Address: ! £ 7:%c 2 L -
COMPLIANCE WITH INIIIAL INSPEC LION
This is to certify that the property listed above has been inspected by authorized City personnel on 15 , 201
'' —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
City of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
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 City Plumbing Permit
City Approved: JA / --�(7N
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
•
City of Ewell
NOTE: Applicable only if box is checked, Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perforated to minimize a potential blockage due to:
Grease Build -up, Root .Intrusion, Dip /Settlement in Pipe, Other: (� t r t
r %
'Ll
ature � ` Date
rev 2 23.2010