1771 Serpentine Dr - COCit
City of Eaftan
City Approved < /
Property Address:
COMPLIAiNCE WIIH INITIAL INSPECIION
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 AF TER CORRECIIVE 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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 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 periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name
White Copy: Property Owner
City of Eagan, Minnesota
17' (-'-1.-x '`r I 5Iz / 1
,✓ Signature Date
City of Eapll
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010