4293 Jasper Dr - COCCity of Eagan, Minnesota
Property Address: H "D- U'Y `
COMPLIANCE WIIH INITIAL LNSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
City of Ea all
COMPLIANCE AFIER CORRECIIVE 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):
City Approved:
n City Sanitary Sewer Permit
v vvv. -. .-L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
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Date
Signature
Yellow Copy: City of Eagan (Parcel File)
3 J-010
City of Eagan
NOTE„ Applicable only if box is checked: rased on a review of Me Sewer Service video inspection report on file, it is
recommended that r eriodic cleaning et future inspections be performed to minimize a potential blockage due to:
Grease Build- ,',, Root Intrusion, i Iv/Settlement in Pipe, Other: 4 I P
rev. 2 23.2010