4435 Clover Lane - COCCity of Evan
COMPLIANCE WITH INIIIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on 66 l ZZ 201 j
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
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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit
NOTE: Applicable only if box is checked.: ased 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: 44.1.477-/
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addr ess: 1 4 5 5 C /o ve. (
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
1
Date
City of Eaaall
rev 2 23 2010