2082 Diffley Rd - COCCity of EaRaft
City of Eagan, ( Minnesota
Property Addtess:`�a
COMPLIANCE WITH INITIAL INSPEC PION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on — , 2010
and found to he in compliance with Section .3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
H 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 requited corrective repair work under (check all that apply):
T7 City Sanitary Sewer Permit
City Approved: v On_ _.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City PIumbing Permit
NOTE Applicable only if box is checked:' eased on a review of the Sewer Service video inspection /report on file, it is
recommended that r er'r , • i ping or future inspections be performed to minimize a potential blockage due to.:
Grease Build- Root Intrusion, .1 ,
/Settlement in Pipe, .
Other: (0 Pi- 4
Pi- to vi'
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eaall
rev. 2.23 2010