2125 Copper Lane - COC4 °11 City of EapIl
City of Eagan, Minnesota
Property Address: 1 C__() V VL`t?
COMPLIANCE WIIH INIIIAL INSPECIION
his is to certify that the property listed above has been inspected by author €zed 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 AF IER CORREC IIVE WORK 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):
NOTE, Applicable only if box is checked: Eased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic_s ning or future inspections be performed to minimize a potential blockage due to.,
Grease Build -up, R t dntrusio , Dip /Settlement in Pipe, Other: Ste
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit 1 City Plumbing Permit
' D-0 t
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of Eaaar',
rev 2 23 2090