4018 Pumice Lane - COCCity of hp
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 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
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):
H City Sanitary Sewer Permit
City Approved: v' t 1Ck AL--
Pant name
White Copy: Property Owner
SANITARY SEWED. SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: 40 1%' c■ � �
City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
4 111j. City of EaRan
NOTE.: Applicable only if bo.x is checked : teased 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:
Greas Build -up, ' #otlntrusion r, p /Settlement in Pipe, Other, "7
N- / � )-D-6
rev 2 23 2090