670 Brentwood Lane - COCCity of EaRan
City of Eagan, Minnesota �,
Property Address: C� C) QY e_vA r c 0 &
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
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
I
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):
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City Sanitary Sewer Permit City Plumbing Permit
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: - - 1A / )S\NN
� , JQV /
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
law c�
City of Ekon
a i, 20x
rev 2 23.2010