4283 Amber Dr - COC4 City of Eapa
City of Eagan, Minnesota
Property Address: `i " - Cy Y
COMPLIANCE WIIFI INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on �._ / �r , 20
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit [n City Plumbing Permit
4 City of Evan
NOTE: Applicable only if box is checked ased on a review of the Sewer Service video inspection /report on file, it is
recommended that pe ,iodie-eleankg or future inspections be performed to minimize a potential blockage due to:
Grease Build -up oot Intrusion p /Settlement in Pipe, Other,. S a F't- t (Ci 1
S / � ` �c� b rL --
,LcL /1 / ra
City Approved: lw i> /
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010