2106 Carnelian Lane - COCCity of Ea ll
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE At TER CORRECTIVE WORK PERFORMED
I f
Ihis 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 n City Plumbing Permit
NOTE: Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended that peri ning or future inspections be performed to minimize a otential blocks ue to
Grease Build -up, R of Intrusio Dip /Settlement in Pipe, Other.
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t 6 (lax
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
411 City of 'bin
rev 2.23 2010