4290 Beaver Dam Rd - COCA City of 6tan
City of Eagan, Minnesota
Pr operty Address: M 1 i 0 / 3 e- xi a1' �yvt Ro d
COMPLIANCE WI I11 INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201i
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was require
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
n 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit
NOTE; Applicable only if box is checked: 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, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: -
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of kali
rev 2 23 2010