4235 Amber Dr - COCCity of bp
City of Eagan, Minnesota
Property Address: �a Prot-3&-e.:( O ( 1 --
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 201 (..)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF 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):
p City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel F ile)
Date
NOTE: Applicable only if box is checkedBased on a r eview of the Sewer Service video inspection /report on file, it is
recommended thaexi Wing or future inspections be performed to minimize a potential blockage due to:
Grease Build �jii , Root Intrusion ip /Settlement in Pipe, Other: (0 S F+
City Approved: l \M_ in / \ ( / 1 6L s 0
Print name Signature
City of Eapil
rev 2 23 2010