2074 Bluestone Dr E - COC1 City of Eagan
COMPLIANCE WITH INITIAL INSPECIION
Shis is to certify that the property listed above has been inspected by authorized City personnel on - , 201_o
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:Ic=44sed 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 -u oot Intrusion, ip /Settlement in Pipe, Other. 3 - P`-'
City Approved: \AN_ /
/
Signature Date
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 lA.'E-:5 -0 t1 f - O"( V E
Yellow Copy: City of Eagan (Parcel File)
City of Etall
rev 2 23. 2010