4631 Cambridge Dr - COCCity of Eagan, Minnesota
Proper t3' Address: L A (" 1 Vv. - \0Y 1r1
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201_a
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit T City Plumbing Permit
City of Eapll
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 performed to minimize a potential blockage due to:.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: vvk \A - CL
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
-JL
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of hp
rev 2.23.2010