4052 Rahn Rd - COCCity of Ekali
City of Minnesota
Property Address: 1 S ^ �� \ f CLCO
COMPLIANCE WITH INITIAL INSPECTION
lais is to certify that the property listed above has been inspected by authorized City personnel on S 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
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 1 1 City Plumbing Permit
NOTE: Applicable only if box is checkeased on a review of the Sewer Service video inspection /report on file, it is
recommended th tpericrdic c ing or future inspections be performed to minimize a potential blocks a due to:
Grease Builp, Root Intrusion Dip /Settlement in Pipe, Other: '{ - '1
City Approved: - \ 1l\r� lR"
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eapli
rev 2 23. 2010