3875 Dolomite Dr - COCCity of Ea all
City of Eagan, Minnesota
Property Addl ess: `3 O \ 0 Or\ i � _ C 1 v e-
COMPLIANCE WITH INITIAL INSPEC IION
171—This is to certify that the property listed above has been inspected by authorized City personnel on 3
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORREC IIVE 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 r equired corrective repair work under (check all that apply):
In City Sanitary Sewer Permit
City Approved: 3
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
NOTE; Applicable only if box is checked. aced 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.. �L t. t r t v�lo C-) , '� - '"
_tom ( Wit , o -
Signature
Yellow Copy: City of Eagan (Parcel I ile)
Date
41 City of Ekall
/
, 201
rev. 2.23. 2010