1914 Bear Path Tr - COCCity ofa�a.11
City of Eagan, Minnesota - #
Property Address: l q 6-ecor
COMPLIANCE WITH INITIAL INSPECTION
his 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 corr ective work was required
COMPLIANCE AP 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):
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 performed to minimize a potential blockage due to:
Gr ease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:(,
Print name
White Copy: Property Ownei
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F ile)
C \dkAA, tre
Signature Date
City of Eapll
rev. 2 23.2010