804 Ivy Lane - COCCity of Eagall
COMPLIANCE WII If INIIIAL INSPECTION
ct 0 This is to certify that the property listed above has been inspected by authorized City personnel on , 2,01_
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 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):
fl City Sanitary Sewer Permit
City of Eagan, Minnesota
Pr'oper'ty Addy ess:���"�' --
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
fl City Plumbing Permit
City Approved: ti — / Aiw- Vte) -2V ',. / 1 l � ! 6 i C3
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Iap,all
NOTE, Applicable only if box is checked:. Based on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning of future inspections be to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: YbtiL j 60 VLF
rev. 2 23. 2010