4455 Clover Lane - COCCity of Eapit
City of Eagan, Minnesota
Property Address: 4L5 (IoX Lh
COMPLIANCE WITH INITIAL INSPECIION
, Xi This is to certify that the property listed above has been inspected by authorized City personnel on 06 /29 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
7 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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
City Approved: JigkititeS
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checked :OBased 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
I1
Signature G G Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Bapil
rev 2 23 2010