4288 Beaver Dam Rd - COC411 City of Evan
City of Eagan, Minnesota Property Address: ��� -e(�.t} 'CX Gecw. eneLe
COMPLIANCE WITH INITIAL INSPECTION
V : Ihis is to certify that the property listed above has been inspected by authorized City personnel on "D , 20i_l
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER 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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
City of Evan
NOTE: Applicable only if box is checked:1 jBased 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:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 OA C , L / 'yj`\/in,._ / � �
1 Date
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23.2010