1765 Monterey Lane - COCCity of Etall
COMPLIANCE WI I H INITIAL INSPECTION
[-Ihis is to certify that the property listed above has been inspected by authorized City personnel on - l L , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF I ER CORRECTIVE WORK PERF ORMED
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 conective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOM.: 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 mini ize a potential Iloc a$ due o:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: ' �t s' d 4
C l — {'4
City Approved: vv. \` -
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 to ' \ ( \t v'..
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of hp
rev 2, 23 2010