3936 Mica Tr - COCCity of EaRail
City of Fagan, Minnesota
3
Property Address: I i L 6 L CL A-0
COMPLIANCE WITH INIIIAL INSPECTION
,phis is to certify that the property listed above has been inspected by authorized City personnel on l , 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
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):
NOTE: Applicable only if box is checked•; used on a review of the Sewer Service video inspectionheport on file, it is
recommended that pej iodic ping or future inspections be performed to minimize a poteryri blockage due to:
Grease Buildup oat Intros ° Dip /Settlement in Pipe, Other; 771
City Approved:
City Sanitary Sewer Permit City Plumbing Permit
wL \C■Lje•—_. I e, / I '7i tf D
Print name I Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F ile)
d e b ' City of Earn
rev 2 23:2010