4271 Sun Cliff Rd - COCCity of hp
City of Eagan, Minnesota
Property Address: 4 + S � v� C941 CI
COMPLIANCE WIIH INITIAL INSPEC IION �y
PI is to certify that the property listed above has been inspected by authorized City personnel on - J , 201_ l
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 340 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
City Approved: OA- \+
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE Applicable only if box is checked: [JBased on a review of the Sewer Service video inspection /report on file, it is
r ecommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Signature
Yellow Copy: City of Pagan (Parcel File)
Date
City of hp
i
6/-36/
rev 2 23 2010