4677 Kingsbury Dr - COCCity of Eap
City of Eagan, Minnesota
Address: '— k � `� � ►J Y U� v
COMPLIANCE WITH INITIAL INSPECTION
E nnis is to certify that the property listed above has been inspected by authorized City personnel on {) , 201
and found to be in compliance with Section 3 40 of the City Code and no con =five work was required
COMPLIANCE AFIER 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):
City Sanitary Sewer Permit I I City Plumbing Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
t J/ t 1
City Approved: —� Uv�/ L
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Evan
NOTE: Applicable only if box is checked: LjBased 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.:
3
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rev 2.23 2010