1718 Sartell Ave - COCCity of a
City of Eagan, Minnesota
Pr °perty Addl ess: r" CI V t
COMPLIANCE WII II INITIAL INSPECTION
ft This is to certify that the property listed above has been inspected by authorized City personnel on 3 r 'L , 20] 1
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 corr ective repair work under (check all that apply):
NOTE: Applicable only if box is checked:' i ased on a review of the Sewer Service video inspection /report on file, it is
recommended that ppiri1ic clean* ' or future inspections be performed to minimize a potential blockage due to:
Grease Build-up, Rot Intrusion, dip /Settlement in Pipe, Other: -21 �
City Approved:
fl City Sanitary Sewer Permit City Plumbing Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
rev 2.23.