3865 Dolomite Dr - COC4 , 111 `' City of Evan
City of Eagan, Minnesota
Property Address: 3,StS 06 \6 cnâ– C ` V `
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on a ` , 201 I
and found to be in compliance with Section 3 40 of the City Code and no corrective work was re quired
COMPLIANCE AI TER CORRECTIVE WORK PERFORMED
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):
IT City Sanitary Sewer Permit f; City Plumbing Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Emit
NOTE: Applicable only if box is checked: nBased 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 a potential blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: \ vv
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23 2010