4223 Rahn Rd - COCCity of Eapn
COMPLIANCE WII H INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 201 0
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required.
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
n 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
NOTE: Applicable only if box is checked: axed on a review of the Sewer Service video inspection /report on, file, it is
recommended thatperiQ•dic..c ! Wing or future inspections be performed to minimize a potential blockage due to:
Grease Build-u oo tIntrusion, 1 •/Settlement in Pipe, Others
45sntirna! - f
City Approved:
Print name
White Copy: Property Owned
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Propeity Address:- 0--VVV.
n City Plumbing Permit
1- ek-u±- ( // -/
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
A lik City of EtaIl
rev. 2 23 2010