1510 Wellington Way - COC11 City of Eapll
F7 City Sanitary Sewer Permit
City of Eagan, M innesota ,
Pioperty Addr , W - e ess: \ - \ \ t cork_ v�i0k y-
COMPLIANCETIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on - ` t , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
fI 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):
City Approved: O& 1 /
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fot
INFLOW & INFILTRATION
fl City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea all
NOTE, Applicable only if box is checked: sed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perf rued to minimize a potential blockage due to
Grease Build -up, Root I usron, Dip/Settlement in Pi e, Other: O \ 9. l � t� 1 yv6 - 3 {„ of
CG f J 4 `3 81 , 9 L, 1
rev 2 23.2010