4287 Fox Ridge Rd - COC411 City of Evan
Property Address:
COMPLIANCE WIIII INIIIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on 6 " 9 , 201_ (
and fund to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE 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):
1 City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE: Applicable only if box is checked.: 1 [Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Other:
City Approved: `C
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
L1Ldam,
Signature
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Yellow Copy: City of Eagan (Parcel F ile)
Date
4 City of bp
rev 2 23.2010