4447 Clover Lane B - COC41 City of kali
City of Eagan, Minnesota
Property Address: L/7 13 e`8 v&C
COMPLIANCE WITH INITIAL ENSPECIION
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 required
COMPLIANCE AF TER 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 Sanitary Sewer Permit ❑ City Plumbing 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
Yellow Copy: City of Eagan (Parcel F ile)
City of Eagan
rev 2. 23.2010