2053 Bluestone Lane - COC4 City of Evan
City of' Eagan, Minnesota
Property Address: Bl l t� �� u X11 `-
COMPLIANCE WITIIINIIIAI.INSPECTION (�
I ris is to certify that the property listed above has been inspected by authorized City personnel on � i , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE 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
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
NOTE: Applicable only if box is checked: OBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: �� U1h_ \AeL ,,' vim—
Print name V Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
411 !! City of Eap
rev 2 23 2010