4272 Sandstone Dr - COCCity of Eagan, Minnesota
Property Address: C(:).-1rNa E �.J '�l rl `
COMPLIANCE WITH INITIAL INSPECTION
R r —This is to certify that the property listed above has been inspected by authorized City personnel on t , 201 0
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):
City of Emil
T7 City Sanitary Sewer Permit
City Approved: T\ \ L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Emit
NOTE; Applicable only if box is checked: 1 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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
rev. 2 23.2010