1750 Palisade Cir - COC4 City of Eagan
City of Eagan, Minnesota
Property Address: � o [ C�-1 S 4.a a_cL
COMPLIANCE WIT H INIIIA.L INSPEC I ION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201 [
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC IIVE 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 fl City Plumbing Permit
NOTE: Applicable only if box is checked, 4 &sed on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiotdic.eleaning or future inspections be performed to minimize a potential blockage due to..
Grease Build -up, aot Intrusion; . ip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of BaRaIl
rev 2 23.2010