822 Ivy Lane - COCCity of Evan
COMPLIANCE WIT H INITIAL INSPECTION
P Th-lhis is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ti 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):
City Sanitary Sewer Permit
NOTE: Applicable only if box is checked.: LJBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfotmed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
City of Eagan, Minnesota
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
White Copy: Property Owner
Property Adclress: }a-
Print name
City Plumbing Permit
Irv
L - c
Signature
Yellow Copy: City of Eagan (Parcel file)
Date
41 City of Evan
rev 2 23 2010