1791 Bluestone Dr E - COC41 City of Eagan
COMPLIANCE WIT INITIAL INSPECTION
o This is to certify that the property listed above has been inspected by authorized City personnel on 1 , 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
n Ihis 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 (cheek all that apply):
City Approved:
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address :
Print name
n City Plumbing Permit
NOTE.; Applicable only if box is checked: ased 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 oot �ntrusi Dip /Settlement in Pipe, Other, --1 's"'
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 2 23 2010