2078 Jade Lane - COCCity of Ragan, Minnesota
Property Address: C�t 0.C1t "E V1
COMPLIANCE WITH INITIAL INSPECTION
-Arts is to certify that the property listed above has been inspected by authorized City personnel on ( ` , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective or was required
COMPLIANCE AFIER 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 of Eapll
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
City of Eaaall
NOTE,. Applicable only if box is checked Bzt sed on a review of the Sewer Service video inspection /report on file, it is
recommended that +etiodie- ° = ing or future inspections be performed to minimize a potential blockage due to
Grease Build- Root Intrusion, ip /Settlement in Pipe, Other„ 4 ! - S k I- S 1- " — I l - `S f
Q -e ( e -C�_C a !� — r� — i > F-4 � { ( —� -- .
4 O y ���
City Approved: V
` vr t\ U� A I t`V e 1�-�+i� 1 4 7 - -g /a 6 ((�
Date
Print name U Signature
Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2010