1775 Bluestone Dr E - COCCity of 1apli
City of Eagan, Minnesota
Property Address: - TL C \V1. - CS `ice. e
COMPLIANCE WIIH INITIAL INSPEC IION
If Elhis is to certify that the property listed above has been inspected by authorized City personnel on , 2011
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
0 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 Sanitary Sewer Permit [1 City Plumbing Permit
NOTE: Applicable only if box is checked: I Based on a review of the Sewer Service video inspection /report on file, it is
r'ec'ommended 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: t LAP.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
7' a - 101(
Signature Date
Yellow Copy: City of Eagan (Parcel rile)
City of kali
rev 2.23 2010