4623 Ridge Cliffe Dr - COC4 410 11i ' City of Eagan
City of Eagan, Minnesota
Pr operty Addr ess: y {c �^ j ` � C. i � �J � \ �I
COMPLIANCE WITH INITIAL INSPECIION
an rs is to certify that the property listed above has been inspected by authorized City personnel on — 1 , 201 0
d found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORIMED
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 fl City Plumbing Permit
NOTE : Applicable only if box is checked: [JBased on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1}VL
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F
aTLL
Signature Date
City ofEapll
rev. 2 23 2010