2053 Quartz Lane - COCCity of Fl
COMPLIANCE WIT IT INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on � ` , 201_6
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
1
City Sanitary Sewer Permit
NOTE: Applicable only if box is checked: n'Based on a review of the Sewer Service video inspection /report on file, it is
recommended that , • loci' - ruing or future inspections be performed to minimize a potential blockage due to:
Grease Build -up,'' , I sip /Settlement in Pipe, Other: 1- '
City Approved: \
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: a C) C 4 L5 A. �--
n City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of Eapll
rev 2, 2010