1768 Walnut Lane - COCCity of Evan
City of Eagan, Minnesota
Pr °petty Address: V (4i/S' --
COMPLIANCE WITH INITIAL INSPECTION
F 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 wor under (check all that apply):
n City Sanitary Sewer Permit 1 I City Plumbing Permit
City Approved: `� VA._ �
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 0 P ' City of EaRall
NOTE: Applicable only if box is checkedased on a review of the Sewer Service video
recommended that periodic • cleaning or future inspections be performed to minimize a po
Grease Build -up, Root Intrusion, Dip /Set ment in Pipe, Other
inspection /report on file, it is
to vitx due to:
� -
I
Signature
Yellow Copy: City of Eagan (Parcel File)
(7 4 / cm t (
Date
rev 2 23.