4312 Fox Ridge Rd - COCCity of Eapa
City of Eagan, Minnesota
Property Address: 4 '3 \'- C Q '. - V-6
COMPLIANCE WITII INITIAL INSPEC TION
'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 corrective work was required.
COMPLIANCE AF TER CORREC IIVE 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 ripply):
City Approved:��`
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit City Plumbing Permit
NOT& Applicable only if box is checked: nBased 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
Signature
Yellow Copy: City of Eagan (Parcel File)
l 1 36 PD
Date
City of Evan
rev. 2 23. 2010