2041 Bluestone Lane - COC41 City of hp
City of Eagan, Minnesota
Property Address: a° \--4 1 l�z S t(}Vi V
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on ` L , 201 (�
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):
n City Sanitary Sewer Permit C City Plumbing Permit
NOTE: Applicable only if box is checked: iBased 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 toa
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„
City Approved: T1 t tL lT''�-
White Copy: Property Owner
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
r
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eal
t
rev 2 23.2010