4271 Moonstone Dr - COCCity of Eagan, Minnesota
Property Address: 1-4 } - 1 1 YY1.0 r
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 2
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):
n City Sanitary Sewer Permit City Plumbing Permit
City of Eapll
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 per ormed to minimize a +otential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: i \'2' Cs 1 ' _ DS z F" S
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
lAtuAtiz
Signature Date
4 City of Evan
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010