818 Ivy Lane - COCCity of Email
City of Eagan, Minnesota
Property Address: \
COMPLIANCE WITH INITIAL INSPECTION
44' 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 corr ective work was required.
COMPLIANCE AFTER CORREC IIVE 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 n City Plumbing Permit
NOTE, Applicable only if boy. is checked-I, '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:
J� `� �
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eapa
,,,.E. j / 4 -/is - 1 - )4) 16
Signature Date
rev 2.23.2010