2101 Copper Lane - COCCity ofEafall
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 9 , 201 (--)
and found to be in compliance with Section 3.40 of the City Code and no corr ective 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: E a sed on a review of the Sewer Service video inspection /report on file, it is
recommended that ' cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusion, ip /Settlement in Pipe, Other: -
City Approved:
6 VV' l 1,
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: 1() \ 9 Re,y
Yellow Copy: City of Eagan (Parcel File)
Signature Date
City of Eapil
rev. 2 23 2010