1768 Serpentine Dr - COCCity of Eagan
COMPLIANCE WIT H INITIAL INSPEC LION
1 1
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 corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Rl' 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 con ective repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE,. Applicable only if box is checked: 1 'Based 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
1 l �_
City Approved: i 0 fit_ / , jt !\ �• ,` ( l��l.'��
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ( - f
2
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
r_{
City of Eapll
rev 2 , 23. 2090