4793 Beacon Hill Rd - COCCity of Eagan
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 AFTER 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 Code
after satisfactorily completing the required corrective repair work under (check all that apply):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: °f �
City Sanitary Sewer Permit [ City Plumbing Permit
City Approved: T7C s
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
NOTE: Applicable only if box is checked:1 iBased 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 /Settlernent in Pipe, Other:
Print name Signature Date
City of Eapll
rev. 2.23.2010