4230 Moonstone Dr - COCCity of Ea llI
City of Eagan, Minnesota
Property Address: t- 0 \N G t'` \A 0 \/
COMPLIANCE Wllfft INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE At TER CORREC JIVE 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
City Approved: 1 OA_ ` t
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
NOTE:. Applicable only if box is checked: 1 lEased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic-el i ing or future inspections be performed to minimize a potential blockage due to:
Grease Build -u r ' oot tat ► i /Settlement in Pipe, Other. ‘St-5 ` 1
� r
uy -tom / / //--q
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Ea 111
rev 2 23 2010