1468 Thomas Lane - COCCity of Eagan, Minnesota
Property Address: L-f (-) ko 67, -5
COMPLIANCE WIIH INIIIAL 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):
City of Eail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit j City Plumbing Permit
NOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic. cleaning or future inspections be performed to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement:, Pipe, Other:
r
City Approved:`, �. r� t� / ,tg �/ 0 .�°�.�•
Print name Signature - Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Evan
rev 2 23.2010