1839 Kathryn Cir - COCCity ofEaftall
City of Eagan, Minnesota
Property Address: 1 g ? e, 1/1. C t V
COMPLIANCE WITH INITIAL INSPEC TION
R--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 conective repair work under (check all that apply):
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit I 1 City Plumbing Permit
Print name
White Copy: Property Owner
NOTE.' Applicable
recommended t
tease Build -u
4 11 4
•
only if box is checked: , .• s sed on a review of the Sewer Service video inspection /report on file, it is
that
iodic -cl ng or future inspections be performed to minimize a potential blockage due to:
p, trusion, 'p /Settlement in Pipe, Other: to L
/ '/it1tA /
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2 23 2010