1892 Gold Tr - COC411 City of Eaoal
City of Eagan, Minnesota
Property Address: \ ' — G OCC, 3 C._,J
COMPLIANCE WITH INITIAL INSPECTION
G —Ihis is to certify that the property listed above has been inspected by authorized City personnel on J , 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
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
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 OF future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: \ '�.
Print name
White Copy: Property Ownei
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel F ile)
41 City of Eagan
I (4 1145ID
Date
rev 2 23 2010