4078 Diamond Dr - COCCity of Eagan, ( Minnesota
CIS' Proper Address: `�Vl'O- r\C
COMPLIANCE WITH 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 AFTER CORRECTIVE WORK PERFORMED
City of Eaial
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):
n City Sanitary Sewer Permit fl City PIumbing Permit
NOTE,; Applicable only if box is checked :ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , wing or future inspections be performed to minimize potential blo kage due to:
Grease Build -up ' oot Intrusion, ► ip /Settlement in Pipe, Other, ' ( ; 11.55,c ) 14 -tt / 3j - 1
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Signature Date
City Approved: 1 vv - � V \
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Eaian
rev. 2 23,2010
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