4625 1_2 Penkwe Way - COCCity of Eagan, Minnesota
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Property Address: i( l /a kj~- . 1,\*.. " l l.) C-
COMPLIANCE WITH INIIIAL INSPECTION
, This _is to certify that the property listed above has been inspected by authorized City personnel on , 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
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 of Dian
n City Sanitary Sewer Permit
City Approved: VA('k
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
Oro
City of Etau
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 tor.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others
rev 2. 23.2010