4760 Westminster Cir - COCCity of F a an
City of Eagan, Minnesota
Property Address: to 0\ €e.sA - tt\ \ i r
COMPLIANCE WIIH INITIAL INSPECTION
--This is to certify that the property listed above has been inspected by authorized City personnel on , 201_0
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
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):
n City Sanitary Sewer Permit
City Approved: L "L--
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perforNed to minimize a potential b ockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: O O >< � }� \U t 1` 0
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
c�}1a 0
City of Eat ll
rev 2.2.3 2010