3753 Windtree Dr - COCCity of hp
City of Eagan, Minnesota
Property Address: ' ) ) _ `C' vi
COMPLIANCE WITH INITIAL INSPEC I ION
is to certify that the property listed above has been inspected by authorized City personnel on , 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
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):
PI City Sanitary Sewer Permit I City PIumbing 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 per iodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
vv- tL+•-
i1 Signature
Yellow Copy: City of Fagan (Parcel F ile)
Date
City of hp
J ;�
rev, 2. 23 2010