4761 London Lane - COC11 City of Ekaa
White Copy: Property Owner
n City Sanitary Sewer Permit
City of Eagan, Minnesota
Property Address: t to 1 LO
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ` � , 201 0
and found to be in compliance with Section .3 40 of the City Code and no corrective work was re quired
COMPLIANCE AF TER CORREC IIVE 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):
City ApprovedT T OA-
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLI*NCE: for
INFLOW & INFILTRATION
n City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eno
NOTE. Applicable only if box is checked: UBased 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 to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Other,,
rev. 2 23.2010