4316 Fox Ridge Tr - COC41 City of Evan
COMPLIANCE WIIH INIIIAL INSPEC ZION
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This is to certify that the property listed above has been inspected by authorized City personnel on , 2014
and found to be in compliance with Section 3 40 of the City Code and no conective 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 Approved:
n City Sanitary Sewer Permit
Property Address:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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t`d- fa
City Plumbing Permit
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Signature '
Yellow Copy: City of Eagan (Parcel F ile)
Date
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, Root Intrusion, Dip /Settlement in Pipe, Other:
City of apll
rev 2 23 2010