1821 Kathryn Cir - COC40 City of Emit
COMPLIANCE WIIH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AI TER CORRECTIVE WORK PERFORMED
IJ
Property Address:
This is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
aver satisfactorily completing the required corrective repair work under (check all that apply):
City Approved:
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name
City of Eagan, Minnesotaa f
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapil
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 or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others
rev. 2 23 2010