4046 Beryl Rd - COCCity of Eagan
City of Eagan, Minnesota
Pt °perty Address: LE L, 6 cLe
COMPLIANCE WITH INITIAL INSPECTION
I! ` 'Lhis is to certify that the property listed above has been inspected by authorized City personnel on S - / 3 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
l i City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or flaw inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 3
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
d City of EaRaIl
l L° /!4
Yellow Copy: City of Pagan (Parcel File) rev 2 23.