809 Ivy Lane - COCCity of Etall
COMPLIANCE WIIH INITIAL INSPECTION
E 1 -- Ihis 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 AFTER CORRECIIVE WORK PERFORMED
I1
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);
n City Sanitary Sewer Permit City Plumbing Permit
NOTB: Applicable only if box is checked -Based Based 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 apotentielbloc r age due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,
1 I LA
l - - - C3 6�
City Approved: \ Vvi 1�l✓A-lJ \
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 750 J L C it \A.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapll
rev 2.23 2010