4616 Cambridge Dr - COC4 City of Evan
City of Eagan, Minnesota
Property Address: #4,/4.1 C t t (
COMPLIANCE WITH INI_IIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on KGs l3 , 20r '
and found to be in compliance with Section .3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORR.ECIIVE WORK PERFORMED
I I 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):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit [ 1 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:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Evan
rev. 2 23.2010