2061 Quartz Lane - COCCity of hp
City of Eagan, Minnesota JPr apertyAddress: CI' s
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the ptopeity listed above has been inspected by authorized City personnel on 1 - , 201 0
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
n 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):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit n City Plumbing Permit
City Approved: 1AS
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
City of EaRall
NOT& Applicable only if box is checked: {1Based on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiod'c cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intr a� n, ip /Settlement in Pipe, Other:
i t�
rev 2 23.2090