1721 Walnut Cir - COCCity of Eagan
City of Eagan, Minnesota /�
Property Address: t f g-) 4 _( Q i
COMPLIANCE WITH INITIAL INSPECTION
7 This is to certify that the property listed above has been inspected by authorized City personnel on 13 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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):
F7 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 Intrusio i� /Settle ne in Pipe, Other:
3 13 Fr
City Approved: j/4-71463
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of EapIl
lJ
rev. 2.23 2010