4719 Beacon Hill Rd - COCCity of Ea all
City of Eagan, Minnesota
Property Address: VI Q - CS3 w t t 2.0 f
COMPLIANCE WITH INITIAL INSPEC DON
This is to certify that the property listed above has been inspected by authorized City personnel on T ` t , 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
ri 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 n City Plumbing Permit
NOTE: Applicable only if box is checked, eased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspection be perfeilmed to minimize a potential blockage due to:
Grease Bu' d -up, Roo Intrusion, Dip /Settlement in Pipe, Other OQ't Q ► �'L' . d s„ `'� —'�—S ' (4
p - if\ ( � (3 —112 - C c v. ` s-ee .mod.
o t 4
City Approved: \ Vvt L / f
Print name Signature Date
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev. 223.2010