3932 Palisade Way - COCCity of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPEC TION
his is to certify that the property listed above has been inspected by authorized City personnel on . -_? , 201(
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
1
City of Eapil
City Sanitary Sewer Permit
Property Address:
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):
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Pao 11
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Etall
rev 2 23.2010