2119 Shale Lane - COCCity of Eapal
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1. — L , 2010
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
n 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
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
L K
City Plumbing Permit
City of Ea all
NOTE: Applicable only if box is checked: Elf aced on a review of the Sewer Service video inspection /report on file, it is
recommended that p z : e ning or future inspections be performed to minimize a potential blockage due to:
Grease Sutld -up, 'Hof Intrust r Dip /Settlement in Pipe, Other: 9 3 '8 , 9 4
City Approved: \�V4� a / F i 6
Print name U Signature Date
Yellow Copy: City of Eagan (Parcel Tile)
rev 2 23 2090