1593 Covington Lane - COCCity of Eaaall
City Approved:
City # Eagan, Minnesota
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Property Address: I 0 1 Gi O LA L t
COMPLIANCE WITH INITIAL INSPECTION
n Ihis 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 corr ective work was required
COMPLIANCE; AF TER CORRECTIVE WORK PERFORMED
his 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 Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: UBased 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:
b A r (3 v\I
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of EaRall
Date
rev. 2 23.2010