4333 Woodgate Lane N - COCI f City of Earn
COMPLIANCE WIIIT INITIAL INSPECTION
,. This is to certify that the property listed above has been inspected by authorized City personnel on U G / T , 201)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
I l 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE:. Applicable only if box is checked: used 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:
City of Eagan, Minnesota
Property Address: 14-52Y-5 1404.- L
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
rev 2 23 2010