3919 Mica Tr - COCCity of Evan
City of Eagan, Minnesota
Property Address: C /�
:\ 1 O I 1 r1
COMPLIANCE WIIH INITIAL INSPECIION
j 9 is to certify that the property listed above has been inspected by authorized City personnel on - L k , 201 l
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 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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: Based 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
�
City Approved: ` OA_ ti �
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
44!ii City of Eaiaa
rev 2 23.2010