2115 Shale Lane - COC4 /1* City of Evan
COMPLIANCE WIIH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on —} (-), 201 P
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
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):
I City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked :1 (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 minimize a potential blockage due tot
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: \ t LL L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: D-- \ \ .. r � Lo-Y\ "
Yellow Copy: City of Eagan (Parcel F ile)
City of Evan
Signature Date
rev 2 23 2090