4027 Limonite Lane - COCCity of Eagan
City of Eagan, Minnesota
Property Address: ! -;(V Li lthb y\, Pt VI. �.
COMPLIANCE WITH INITIAL INSPEC LION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on _ ( , 201_1
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
In 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 ❑ City Plumbing Permit
NOTE Applicable only if box is checked, used -on a review of the Sewer Service video inspection /report an file, it is
recommended that periodic cleaning or future inspections beperfor d to minimize a potential blockage due to:
Grease Build -up, Roo Intrusion, Dip /Settlement in Pipe, Other: Y p
OB Q i .j - (g" F "'
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
1D i
Date
rev. 2 23.2010