2107 Shale Lane - COCCity of hp
City of Eagan, Minnesota
Property Address: a {lt{ (y
COMPLIANCE WITH INITIAL INSPECTION
4Z- This is to certify that the property listed above has been inspected by authorized City personnel on 3 " , 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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , er
G rease Build -u
City Approved:
aning or future inspections be performed to minimize a otential blockage due to:
Rootlntrusion, pip /Settlement in Pipe, Other: .
- 0 Pr Cposs ol c. 0_dk) pass_i I-e cvicek)
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
City of Ear
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010