4671 Kingsbury Dr - COCCity of Eapil
City of Eagan, Minnesota
Property Address: a _ I f t' v ti i
COMPLIANCE WITH INITIAL .INSPECTION
This 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 AT TER CORRECTIVE WORK PERFORMED
This is to certify that the property listed above has been found to be in compliance with Section .3 40 of the City Cod
after satisfactorily completing the requited corrective repair work under (check all that apply):
•
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit C ity Plumbing Permit
City of Eqpt
NOTE: Applicable only if box is checked: I }Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning Of future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
' ° I ! V P 1 it 1� )A.445'6— f
City Approved: !' �% � / r '" � � .. � � �
Print name — t Signature Date
White Copy: Property Pro e Owner Yellow Copy: City of Eagan (Parcel F lie) rev. . 2 23 2010