4283 Rahn Rd - COC41 City of EapIl
COMPLIANCE WITH INITIAL INSPEC TION
This 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
COMPLIANCE AI IER CORRECTIVE WORD 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):
n City Sanitary Sewer Permit
l c--4--ft
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
� -
City Plumbing Permit
City of EagaIl
NOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection/report on file, it is
recommended that periodic cleaning or future inspections be performed to mi imize a potential blockage due to:
Grease Build -up. 'oot Intrusion
Dip /Settlement in Pipe, Other:: *q- 7 - 6.,5
Q-4 } `
City Approved: � !AP-
// �D4 l
Print name Signature Date
Yellow Copy: City of Eagan (Parcel Fite) rev 2.23 2010