840 Ivy Lane - COCCity of Eagan, Minnesota
Property Address.
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel onJ r , 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
City of EaRall
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 Sanitary Sewer Permit City Plumbing Permit
City Approved: J ti ar\
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checked used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfor to minimize a ote l blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: i ` - —
\ -A- .
Signature
Yellow Copy: City of Eagan (Parcel k ile)
Date
City of Eagan
rev. 2 23 2010