3923 Beryl Rd - COC41 City of EapIl
City of Eagan, Minnesota
Pt aperty Address: 39 j CS 0 -00-0
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on L _ , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AE TER CORRECTIVE WORK PERFORMED
C 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked; UBased 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 apotential blockage due to.:
Grease Build -up, Boot Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
� L (- l V I'D° 1 r
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Eapu
rev 2 23.2010