4263 Sunrise Rd - COCCity of EaRal1
City of Eagan, Minnesota / }
Property Address:
COMPLIANCE WIIFI INII IAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ' " , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF I ER CORREC IIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked:! Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perforrned to minimize apotential 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
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapll
rev 2232090