3778 Windtree Dr - COCCity of Ekon
COMPLIANCE WITH INITIAL INSPECTION
T his 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 AFIER CORRECTIVE WORK PERF ORMED
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):
In City Sanitary Sewer Permit n City Plumbing Permit
NOTE.: Applicable only if box is checked; Bused on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfo ed to minimize a potential blockage due to:
ru
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„ ( 4
City Approved:
Print name Signature Date
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
n
Property Address: phi vt "3 VrP: '_ ON
4 City of Evan
Yellow Copy: City of Eagan (Parcel File) rev 2 23.