2021 Bluestone Lane - COCCity of Eapll
City of Eagan, Minnesota
Property Address; 1 6\ kk VI f L >n _
COMPLIANCE WITH INITIAL INSPECTION
g ,( Ihis is to certify that the property listed above has been inspected by authorized City personnel on C " �{. , 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
17 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):
City Sanitary Sewer Permit n City Plumbing Permit
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.: aping or future inspections be performed tominimize a potential blockage due to:
Grease Build -up ' oot Intrusio , Dip /Settlement in Pipe, Other: `- a - '� _
City Approved: 1 V \` / ! '1nr--
Print name
V Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 223 2010