3979 Pumice Lane - COCCity of Etall
City of Eagan, Minnesota
Property Address: ,39'1 9 QuV`V1 i csL �G� yLQ
COMPLIANCE WITH INITIAL INSPECTION
FF Thas is to certify that the property listed above has been inspected by authorized City personnel on , 201_E
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
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:
ri City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
❑ City Plumbing Permit
Print name v Signature
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, R ntrusion, ip /Settlement in Pipe, Other:. LfS, `Wl fj .5
Yellow Copy: City of Eagan (Parcel File)
City of Evan
Date
rev. 2 23 2010