4260 Amber Dr - COCCity of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
l is to certify that the property listed above has been inspected by authorized City personnel on I ° 201__ 0
and found to be in compliance with Section 3.40 of the City Code and no con ective woik 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 woik under (check all that apply):
n City Sanitary Sewer Perm f City Plumbing Permit
City of Eapll
NOTE„ Applicable only if box is checked. ased on a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize Rpotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:' 0 iiSi - k
City Approved: \\
Print name
White Copy: Property owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
J
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
11 City of Eagan
1 FE)
rev 2 23 2010