4637 Penkwe Way - COCCity of Ea all
City of Eagan, Minnesota
Property Address: 4(o 1 6k. W
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE 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 n City Plumbing Permit
City Approved: i Y+n 1L�T
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & IINFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
1 7-201 C.
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 perfor med to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
rev 2.23.2010