2137 Marble Lane - COCCity of Ea go
City of Eagan, � Minnesota r
Property Address: I 1 L- 00 V\ '
COMPLIANCE WITH INITIAL INSPECTION
2 _,Ihis 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 AFTER CORRECIIVE WORK PERFORMED
7 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):
City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checked: IJ on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u o untrusio Dip /Settlement in Pipe, Other: '5C\ C0:3 S - '+
■
City Approved:
Print name
White Copy: Property Owner
City Plumbing Permit
v �.
l "/3/D-61
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eap.
rev 2 23 2010