2125 Quartz Lane - COCCity of Ear
COMPLIANCE WIIIl INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMVIPLIANCE AI TER 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):
❑ City Sanitary Sewer Permit
NOTE:. Applicable only if box is checked.4;r. ased on a r eview 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:. i Y Oa — -r5 P .
City Approved: A k(le\._ . A -
Print name Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr opet ty Address: '""
n City Plumbing Permit
Yellow Copy: City of Eagan (Parcel F lie)
City of 1aiaii
rev. 2 23.2010