4260 Moonstone Dr - COC41 !P 4 ' City of Eagan
City of Eagan, Minnesota
Property Address: '4 (a U N 'A—S G 1'lc_ 0 \
COMPLIANCE WITH INITIAL INSPEC ZION
—This is to certify that the property listed above has been inspected by authorized 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 TER 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 collective repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
r ecommended that , ing OF future inspections be performed to minimize a potential blockage due for
Grease Build -up. 'loot Intrusion }ip /Settlement in Pipe, Other: U, , j , ` C-� - 4 f
City Approved: Yv' u -k.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
41 City of Eagan
Signature
EZP 6 I 6
Date
rev 2 23 2010