2042 Shale Lane - COCCity of iapn
City of Eagan, Minnesota
Property Address: D-C) Y - f ( VV--�_
COMPLIANCE WIT H INIIIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on ^� , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AP 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 n City Plumbing Permit
NOTE Applicable only if bo.x is checked RBased on a review of the Sewer Service video inspection /report on file, it is
recommended th
Grease Build -up,
ing or firture inspections be performed to minimize a potential blockage due to:
ip /Settlement in Pipe, Other. _ " �a C) � —
City Approved: 1 � I � I �'r('3 l !J
Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
City of Ea all
rev 2 23.