2070 Diffley Rd - COCd e ll ` City of Eapll
City of Eagan, Minnesota
Property Address: 0 C9-0
COMPLIANCE WITH INIIIAL INSPECIION
d .-Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 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
n Ihis is to certify that the property listed above has been found to be it compliance with Section 3.40 of the City Code
after satisfactorily completing the requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
❑ City Plumbing Permit
City of Eat ll
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 eaning or future inspections be performed to ti iimize a potential blockage due to:
Grease Build -up, tratIntrusr , Dip /Settlement in Pipe, Other:. 3 ° i
City Approved: / � 1 I Zrtg / f 1
Print name Signature Bate
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010