4672 Cambridge Dr - COC1
City of EaRan
COMPLIANCE WITH INITIAL INSPECTION
[r his is to certify that the property listed above has been inspected by authorized City personnel on ad ` , 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
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked., ased 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.
City Approved: �1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: to 1 'v 1 Q' 1 C_� 1 3 V
\ JF - / `\ 1 i7)
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2.23 2010