4030 Pumice Lane - COCCity of Eapll
City of Eagan, Minnesota
Property Address: 4530 PUS
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on I A . 4 1 ,201j
and found to be in compliance with Section 3 40 of the City Code and no conective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERIORMED
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):
fl City Sanitary Sewer Permit U City Plumbing Permit
1
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection/report on file, it is
recommended that periodic cleaning Of future inspections beperforrued to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Sig a e Date
Yellow Copy: City of Eagan (Parcel F ile)
A City of Eagan
rev. 2.23 2010