3955 Palisade Way - COC411 City of Bayll
City of _Eagan, Minnesota
Property Address: - 39 SS PO-i
COMPLIANCE WITH INITIAL INSPECTION
4 This is to certify that the property listed above has been inspected by authorized City personnel on , 201 J
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):
n City Sanitary Sewer Permit 7 City Plumbing Permit
NOTE; Applicable only if box is checked: on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to inimige a pot ntial lockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other_ ' 0 ,'�•
City Approved: aeLjk_
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Patcel F ile)
City of kali
rev 2.23.2010