4375 Sandstone Dr - COCCity of Evan
COMPLIANCE WITH INITIAL INSPECTION
leis 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 corr ective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PEREORMED
Ihis 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
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: '4`17 ‘1-e_
City of hp
ased on a review of the Sewer Service video inspection /report on file, it is
NOTE Applicable only if box is checked:
recommended that periodic cleaning or future inspections be performed to minimize a po entia blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other. r Q Q. c d -- 3 C
City Approved: 1t
Print name
White Copy: Property Owner
\ \ - ej
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
"3-6(7
rev 2 2 2010