4146 Nicols Rd - COCCity of Eqpt
City of Eagan, Minnesota
Property Address: L l C. i e_C
COMPLIANCE WITH INITIAL INSPECTION
,. This is to certify that the property listed above has been inspected by authorized City personnel on , 201_6
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
C 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 Sanitary Sewer Permit n City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Approved:
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapl
NOTE! Applicable only if box is checked.: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minim' e a t�ential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others F -- f-
rev 2.23,2010