4265 Amber Dr - COCCity of Emil
City of Eagan, Minnesota (�
Property Address: -� 1f -3_tk
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLLANCE AFTER CORRECTIVE WORK PERFORMED
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 box
recommended that p
Grease Build -up,
City Approved:
v Vv\
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
is checked : ased on a review of the Sewer Service video inspection /report on file, it is
ing or future inspections be performed to minimize a potential blockage due to:
ip /Settlement in Pipe, Other: 1 1
Date
. _201)
N ± �; .. 4
•
Signature
Yellow Copy: City of Eagan (Parcel File)
City of bp
rev 2 23 2010