680 Stonewood Rd - COC4 1111 ' City of Eapll
City of Eagan, Minnesota
Property Address: JAVA eik)OO d c cs c
COMPLIANCE WITH INI TIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on' 1 , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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):
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked.,Btrsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfoed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other' It o f �(3 i 1 - 6 3 " --
City Approved: �J a 6�i�� I ` ..,, -
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Evan
rev. 2 23 2010