4495 Clover Lane - COC11 City of Ea all
City of Eagan, Minnesota
Property Address: 4 L q Cko� && L ip
COMPLIANCE WITH INITIAL INSPEC LION
K This is to certify that the property listed above has been inspected by authorized City personnel on 0 C' /ZZ , 2011
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
n 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 fl City Plumbing Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE, Applicable only if box is checked: 1 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, Rootlntrusion, Dip /Settlement in Pipe, Other:
City Approved: JPr 4 AC3 Th I
Print name ( Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
�4 is
Date
411 City of Eap
rev. 2 23 2010