2101 Marble Lane - COCCity of Eagan, Minnesota
Property Address: ; CO( t.Q‘"f_
COMPLIANCE WITH INIIIAL INSPECIION jj
This is to certify that the property listed above has been inspected by authorized City personnel on fa " 6, 201_O
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC IIVE WORK PERFORMED
} 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 City Plumbing Permit
City of Eaft .l
NOTE: Applicable
recommended that
Grease Build -up,
only if box is checked:' ased on a review of the Sewer Service video inspection /report on file, it is
per"
aning or future inspections be performed to minimize a potential blockage due to:
ootlntrusion Dip /Settlement in Pipe, Other: 33 Pi-, 3- P r _ i 5 -t 5`_
City Approved:1'wvo
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel Fife)
1
Date
City of Evan
rev. 2 23 2010
1