1850 Jade Lane - COCCity of Evan
City of Eagan, Minnesota [ ,,
Property Address: % �ULti—
COMPLIANCE WITH INIIIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on /3 , 201/
and found to be in compliance with Section .3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
(
City Approved: vv■, \A
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
NOT: Applicable only if box is checked.:I [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 Intrusion, Dip /Settlement in Pipe, Other:
( .../1(-6PD6
rev. 2 23 2010