3717 Blackhawk Rd - COC411 , 1/ City of Evan
COMPLLANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 02 JZ3 , 201)
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
1 1
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.: FIBased 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 Apprs• ed: JI1 ?TL f
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Sc4 I gi kh L R
nau
Yellow Copy: City of Eagan (Parcel File)
Date
s
City of hp
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rev 2.23 2010