4345 Nicols Rd - COCCity of Eapll
City of Eagan, Minnesota ,
Propeaty Address: L/ A/ f c e l
COMPLIANCE WITH INITIAL INSPECTION
n This 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 corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit — c'fity Plumbing Permit
NOTE: Applicable only if box is checked: Lj8ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or firture inspections be performed to minimize a potential blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: c> j7c. y( !
Print name , \ Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
7
City of hap
,201
rev 2 .23 2010