2046 Jade Lane - COCCity of alai'
City of Eagan, Minnesota
Property Address: t 4C, C3-
COMPLIANCE WITH INITIAL INSPEC IION
Ihis is to certify hat the pro petty listed above has been inspected by authorized City 00
,P This p` p tY P Y t3' ersonnel on - , 201
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and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
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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):
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
City of Paull
NOTE: Applicable only if box is checked: 1 IBased 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 -up, Root Intrusion, Dip /Settlement in Pipe, Other:.
City Approved: 1W- , ( i
Print name Signature l Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23.2010