4441 Clover Lane B - COC4 City of Ea ftall
City of Eagan, Minnesota
Property Address: �{L/) C--lo n'r
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER 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):
it
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: lBased on a review of the Sewer Service video inspection /report an 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: J$.4S
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F ile)
Date
4 City of hp
rev 2 23 2010