4049 Blackhawk Rd - COCCity of Eapll
City of Eagan, Minnesota
Property Address: 04q } 0_4)
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on i f . _ , 201
and found to be in compliance with Section :3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC IIVE WORK PERFORMED
7 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):
n City Sanitary Sewer Permit , City Plumbing Permit
NOTE: Applicable only if'bo.x is checked., 1 . [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:
City Approved: v V6 ■.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
tL(
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
4 City of Evan
rev 2 23 2010