3867 Palisade Way - COCCity of Ea an
City of Eagan, Minnesota
COMPLIANCE WIIH INITIAL INSPECTION
F This is to certify that the property listed above has been inspected by authorized City personnel on , 201 t
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 corrective repair work under (check all that apply):
1 1
Property Address:
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if bo;c is checked.-
recommended that periodic e
Grease Build -up, Roo
Based on a review of the Sewer Service video inspection /report on file, it is
• . ing or future inspections be performed to minimize a potential blockage due to,
ip /Settlement in Pipe, Other:
Erasion
City Approved: 1�.._ L1,
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
u• v��
Signature
Yellow Copy; City of Eagan (Parcel File)
°-� ,1313 - 6 1 (
Date
41 City of EaRall
rev 2 23.2010