2066 Shale Lane - COCCity of Eaftall
City of Eagan, Minnesota
Property Address: . (c) L S V & e \-& "
COMPLIANCE WIIH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on. ' L , 201 0
54— f i nd 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 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
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiodi eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusion, Pip /Settlement in Pipe, Other: (,3
City Approved:
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
3 D-6 16
City of EagaI
rev 2 23.2010