4079 Cinnabar Dr - COCCity of Evan
City of Eagan, Minnesota
Property Address: 1 4 0 p 1 C r 0 V
COMPLIANCE WIIH INIIIAL INSPECTION
4 -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 WORD PERFORMED
n 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 — City Plumbing Permit
City of Eapil
NOTE: Applicable only if box is checked: f '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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: l vv` Ll � cl frEg Date
White Copy: Property Ownei
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010