3822 Country Creek Way - COCCity of Eag,aa
City of Eagan, Minnesota
Property Address: 3 C t L V� � 1 `e _� v6.
COMPLIANCE WITH INITIAL INSPECTION
_..This is to certify that the property listed above has been inspected by authorized City personnel on - La , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
1
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 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 periodicsleaning orPicture inspections be performed to minimize a potential blockage due to:
Grease Build -up, ootintrus oa r Dip /Settlement in Pipe, Other, ft43 .S P4-
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of kaIl
I ` 3- i I
Date
rev 2 23 2010