2082 Jade Lane - COCCity of Eke
City of Eagan, Minnesota
Property Address: D C..
COMPLIANCE WIIH INITIAL INSPEC IION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201
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
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
NOTE: Applicable only if box is checked,Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per' leaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up t lntrusi , Dip /Settlement in Pipe, Other: ` 60
City Approved: ( / L'�v TGI 1 / c� / -
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
P
City Plumbing Permit
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Caaii
rev 2.23 2010