4313 Fox Ridge Rd - COCCity of Eak,aIl
City of Eagan, Minnesota
Property Address: 4 E Ec 4)
COMPLIANCE WIIII INITIAL INSPECTION
'&This is to certify that the property listed above has been inspected by authorized City personnel on
9
and found to be in compliance with Section :3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECIIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: used 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 upotential 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
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 City of Eagan
,201_
rev, 2 23 2010