4253 Moonstone Dr - COCCity of Evan
City of Eagan, Minnesota
Property Address: 4253 Moonstone Drive, Eagan, MN 55122
COMPLIANCE WITH INITIAL INSPECTION
A, This is to certify that the property listed above has been inspected by authorized City personnel on �E3 j C:) , 201c,›
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
El 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
NOTE: Applicable only if box is checked: ased 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 to:
Grease Build-up, rot Intrusto Dip /Settlement in Pipe, Other:
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
.�..c , �a ►.� , 03
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapil
rev. 3.1.2010