2069 Copper Lane - COC411 City olkan
COMPLIANCE WIIH INITIAL INSPECTION
is to certify that the property listed above has been inspected by authorized City personnel on 1— , 201D
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
n Ihis 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 n City Plumbing Permit
NOTE: Applicable only if box is checked; ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build- up, 'ot ntrusion, ip /Settlement in Pipe, Other.; 5
City Approved: 1 v■■ \Aa l 't Vim.- / N.jvv■ / /
Print name Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: a CO Q (-WA- "e-_1
Yellow Copy: City ofEagan (Parcel F ile)
4 City of Eapll
rev 2 23 2010