865 Great Oaks Tr - COCCity of Ea all
City of Eagan, Minnesota
Property Address: VoS et, Ce_C1/4-k C
COMPLIANCE WIIH INIIIAL INSPECTION ``
g _this is to certify that the property listed above has been inspected by authorized City personnel on '" t 201 _CD
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECIIVE WORK PERFORMED
Ihis 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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
City Approved: 1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fo1'
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel File)
l
City of hp
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 performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others
rev. 2 23 2010