3962 Peridot Path - COCCity of EapIl
City of Eagan, Minnesota
Property Address: J (-c o ,. Y i dx Y
COMPLIANCE WITH INITIAL INSPEC HON
This 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 CORRECTIVE WORK PERFORMED
II
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 wor trader (check all that apply):
n City Sanitary Sewer Permit u City Plumbing Permit
11 Applicable only if box is checked: used 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 Buildup, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: \ \AA_ tti ..
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel F ile)
4 City of Eagan
/D i c
Date
rev 2 23 2010