2065 Marble Lane - COCCity of EaQall
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
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 AF TER CORRECTIVE 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 1 City Plumbing Permit
NOTE: Applicable only if box is checked: t y-t used on a review of the Sewer Service video inspection /report on file, it is
recommended tha iodic ,ele ring or future inspections be performed to minimize a potential blockage due to:
Grease Build -u,, : oot Intrusion, ! ip /Settlement in Pipe, Other.: S 1- -'
City Approved: ` ais
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
-Fs13
City of bpi'
rev 2.23 2010