2133 Sapphire Lane - COCCity of Ea all
COMPLIANCE WITH INITIAL INSPECTION
M.-This is to certify that the property listed above has been inspected by authorized City personnel on , 20l
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
II
City Sanitary Sewer Permit F7 City Plumbing Permit
NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended thatper•iodic".cleaning or future inspections be performed to minimize aa blockage due to
Grease Build -up, Intrusio ip/Settlement in Pipe, Other: ? T l
City Approved: \`WA_ k
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr°petty Address: \ 3 Sc21.. PV \A La -0—
\kej.,u-iii■-) I g'6
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
rev 2.23.