2061 Bluestone Dr E - COCCity of Eagan, Minnesota
Property Address: .c aCqz , i l ti4. Y " e_
COMPLIANCE WITH INITIAL INSPECTION
LA —This is to certify that the property listed above has been inspected by authorized City personnel on 4 9 , 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):
City Sanitary Sewer Permit City Plumbing Permit
City of hp
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
City of Ea all
NOTE: Applicable only if box is checked:1 : ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfoffted to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,: o ` i 9'- o — t
1 z 6 4 IQ-( b -3� .
City Approved: L e i / .z�- f / �` t 13-0 lT
Yellow Copy: City of Eagan (Parcel File) rev. 2.2.3.