2019 Shale Lane - COCCity of Ea all
City of Eagan, Minnesota
Pr operty Address: \ Ql
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on `ate, 201 C
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOM: Applicable only if box is checked. Based on a review of the Sewer Service video inspection /report on file, it is
recommended that e iodic aning or future inspections be performed to minimize a potential blockage due to:.
Grease Build -up Root Intrusion, ip /Settlement in Pipe, Other 4 Pts---
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
I t o a‹,
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
rev. 2 23 2010