4735 Beacon Hill Cir - COC4 , 11 ' City of Evan
City of Eagan, Minnesota
Property Address: 13S CD �� ; 1 � Ci
COMPLIANCE WIT IT INITIAL INSPEC IION
4 - This is to certify that the property listed above has been inspected by authorized City personnel on
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
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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOT, 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:
City Approved: J V 11fLk.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel F ile)
/
1 4 k lo
Date
City of Eta!'
,2010
rev. 2. 23.2010