4284 Amber Dr - COCCity of EtaIl
City of Eagan, Minnesota
Property Address: 10--e ( ICJ r) v `�
COMPLIANCE WITH INIIIAL INSPECTION
J his is to certify that the property listed above has been inspected by authorized City personnel on , 201_ a
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: 1 v on a review of the Sewer Service video inspection /report on file, it is
recommended that griodi ping or future inspections be performed to minimize a poten blockage due to:
Crease Build-up, Root Intrusion ip /Settlement in Pipe, Other: — La P( 1 L
r
City Approved:1 v� 1i if=k ----
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
4 City of Eapil
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Signature Date
rev 2 23 2010