2054 Shale Lane - COCCity of Ea all
COMPLIANCE WIT INITIAL INSPECIION ' ll
This is to certify that the property listed above has been inspected by authorized City personnel on �, 201 L.�
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFFILTRATION
City of Eagan, Minnesota
Property Address: `e—
fl City Plumbing Permit
NOTE: Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended that atlie egg or future inspections be performed to a potential lockage due to:
Grease Build -up, ootIntrusion, j' /Settlement in Pipe, Other: 6
-- / g3 1 Do1 C�
City Approved: ' 4 -' �-� -- l
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Eatan
rev 2.23 2010