4322 Nicols Rd - COCCity of Eagan
City of Eagan, Minnesota
Property Address: - 5 Co t S CO J
COMPLIANCE WITH INITIAL INSPECTION
Ihis 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 AFTER CORRECTIVE WORD 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):
in City Sanitary Sewer Permit n City Plumbing Permit
NOTE;, Applicable only if box is checked; sed on a review of the Sewer Service video inspection /report on file, it is
recommended that per m ing or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up, oot Intrusion Dip /Settlement in Pipe, Other:.
City Approved: \ O 1 s,�� k-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
1k.ek.,Jk 0 / 1 l 1 •D-ti
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Email
rev 2.23 2010