1434 Wellington Way - COC41 City of Eagan
City ofEagan, Minnesota
Property Address: 1L/3 / z/J rl1 et)/
COMPLIANCE WITH INITIAL INSPECTION_
n This is to certify that the property listed above has been inspected by authorized City personnel on Z� 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired.
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
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):
L City Sanitary Sewer Permit 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
Crease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other:
City Approved: 4.g7
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
41 City of
rev 2 23.2010