2023 Shale Lane - COCCOMPLIANCE WIT H INITIAL INSPECT ION 1 Ihis is to certify that the property listed above has been inspected by authorized City personnel on 1 1 - -, 201[
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AE TER CORRECTIVE WORK PERFORMED
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 n City Plumbing Permit
City of Eapll
NOT 'E Applicable only if box is checked ised on a review of the Sewer Service video inspection /report on file, it is
recommended that r ping or future inspections be performed to minimize a potential blockage due to:
Grease Build -u /Settlement in Pipe, Other: 5
City Approved: - L'tCk (L�
Print naive
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addr ess:
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Egli
rev 2 23.2010