4064 Magnetite Pt - COC44,1 City of EaRan
City of Eagan, Minnesota
Property Address: 0 ( r) C
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on / �, 2011_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COIVIPLIANCE 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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE; Applicable only if box is checked: nBased on a r eview 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:
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
V� Signature Date�� t1Q )
Yellow Copy: City of Eagan (Parcel File)
4 City of Eap
rev. 2. 23.2010