869 Great Oaks Tr - COC11 City of Evan
City of Eagan, Minnesota
Property Address: it79 Ec3= "( L YCt-
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on C , 2016
and found to be in compliance with Section :3 40 of the City Code and no corrective wank 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 work under (check all that apply):
E City Sanitary Sewer Permit n City Plumbing Permit
NOTE.:' Applicable only if box is checked: nBased 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 Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Iaaan
rev 2.