1747 Hickory Hill Dr - COCCity of WI
COMPLIANCE WIIH INITIAL INSPEC ZION
his is to certify that the property listed above has been inspected by authorized City personnel on / G , 20H
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
Ihis 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):
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: j J J e..:
City Sanitary Sewer Permit City Plumbing Permit
City of Eapll
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:,
City Approved: JPri S f -I /
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile) ' rev 2 23.2010