4254 Moonstone Dr - COCCity of Eapll
City of Eagan, Minnesota
Property Address: S4 \" C, 6 I A- — CIY\
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 3` a-s , 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
Ihis 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):
E City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
F-1 City Plumbing Permit
City of Eakaa
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 inspections be performed to minimize a potential blockage due to
Grease Build -up, Re : ntrusion Dip /Settlement in Pipe, Other: 14 2' Fi f--- S F+ 1 4
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City Approved: ' rj i vnA- {'k t`� �. / — � --{ / - 1/ 0 /D-O i a
Signature Date
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23, 2010