3741 Blackhawk Rd - COCCity of Ea
COMPLIANCE WIIII INITIAL INSPECIION
his is to certify that the property listed above has been inspected by authorized City personnel on S .-- !' , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECIIVE WORK PERFORMED
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkedoK- JBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodk.cle`ning or future inspections be performed to r nhnize a potential blockage due to:'
Grease Build -up, Ro tIntrusion Dip /Settlement in Pipe, Other:'
City Approved: \ U\ Cpl
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1317 1Q� P Og
\--\-ctAak
Signature
Yellow Copy: City of Eagan (Parcel File)
4, City of Eagan
ie
Date
rev. 2 23,2010