4235 Blackhawk Rd - COC1 City of Evan
City of Eagan, Minnesota
Property Address: LZ 2 35 o /AcL In w le, /CJ
COMPLIANCE WITH INITIAL INSPECTION
g i This is to certify that the property listed above has been inspected by authorized City personnel on 06 /z 1
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
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):
n City Sanitary Sewer Permit
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:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
i
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel F ile)
I 7 %f
Date
4 111 City of Evan
s
,201f
rev, 2 23 2010