4354 Jasper Dr - COCCity of kali
City of Eagan, Minnesota
Property Address: 4354 Jasper Drive, Eagan, MN 55122
COMPLIANCE WITH INITIAL INSPECTION
Dig This is to certify that the property listed above has been inspected by authorized City personnel on . 3 201 O
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
❑ 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):
City Sanitary Sewer Permit
City Approved: L\RMES Nj .C7�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
❑ City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eaaal.
NOTE: Applicable only if box is checked • Kt 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, E,t Intrusion Dip /Settlement in Pipe, Other:
NFR�I RcorS A'rr - 7{0. S Fr orAi D 'TB Fr
- ��
OS101f 10
Date
rev. 3.1.2010