860 Ivy Lane - COCCity of Eap
City Approved: \ /
Print name
City of Eagan, Minnesota
Propetty Address: C.) V\
COMPLIANCE WITH INITIAL INSPEC TION
- Ihis is to certify that the property listed above has been inspected by authorized City personnel on CJ 1 1 t, 201_L)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER 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):
City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
NOTE: Applicable only if box is checked., [Based on a r eview 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.:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
"/31 1D
City of hp
rev 2 ,23 2010