1514 Wellington Way - COCCity of Ea ll
Property Address:
COMPLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on r r 201D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AE TER CORRECTIVE WORK PERFORMED
I I
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):
U City Sanitary Sewer Permit — 1 City Plumbing Permit
NOTE; Applicable only if box is checkedrased on a review of the Sewer Service video inspection /report on file, it is
recommended tha , , ' : • , ning or future inspections be performed to minimize a potential blockage due to,.
Grfase Build -. r Root Intrusion, J 'r Settlement in Pipe, Other., 4 P4-
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City Approved: ii AA lam- v- I r1�
Print name r� t-e -j I Z1! 1113_0 1 0
Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
kt -‘,_ (43 L
Yellow Copy: City of Eagan (Paine]. F ile)
City of bp
rev.
2232010