866 Ivy Lane - COCCity of Eap
City of Eagan, Minnesota
Pr operty Address: L U�
COMPLIANCE WITH INITIAL INSPECTION
R --This is to certify that the property listed above has been inspected by authorized City personnel on 9 , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was requited.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 i City Plumbing Permit
NOTE: Applicable only if box is checked: 49trtmed on a review of the Server Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfor ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: GO ( p i 9-E \O lya 'J
City Approved: 1 "`
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
y v.
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of EaVali
rev. 2 23 2010