4540 Lenore Lane - COCCity of Evan
City of Eagan, Minnesota
Property Address: L1 10 L yt o (t L.
COMPLIANCE WITII INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on C CP /Z.) , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
This is to certify that the property listed above ha 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
City Approved: J S
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
NOTE: Applicable only if box• is checked: UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning at future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
1 15
City of bp
rev 2 23 2010