1786 Bluestone Dr E - COCA lik City of Evan
City of Eagan, Minnesota
Property Address: jlo s �L1.E'S -� sY ��( '� E.
COMPLIANCE WITH INITIAL INSPEC TION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n Ihis 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 work under (check all that apply):
p City Sanitary Sewer Permit n City Plumbing Permit
NOT: Applicable only if box is checked.:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic..eleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ootIntrusio , Dip /Settlement in Pipe, Other: et
City Approved: - i .�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of FaRall
rev 2 23.2010