692 Stonewood Rd - COCCity of Ea pil
City of Eagan, Vi 'e
Minnesota
Pioperty Address: 4G�_i x 666 6-S1.
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE 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 wor under (check all that apply):
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit I ' City Plumbing Permit
41 City of 6apu
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Service 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:
Print name
White Copy: Property Ownet
Signature
Yellow Copy: City of Eagan (Parcel F ile)
/ ci /1 / 9-_)
Date
rev 2.23 2010