1443 Wellington Way - COC11 City of Ea ll
COMPLIANCE WITTI INITIAL INSPECTION
COMPLIANCE AF IER CORREC IIVE WORK PERFORMED
Ihis is to certify that the property listed above has been inspected by authorized City personnel on eqc3t9 Z , 201¢
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: 1 iBased 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: ,14
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Proper Address:
Cite of Eagan, Minnesota
AN 3 e,f
Signatur- Date
City ofaa
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010