2041 Shale Lane - COCCity of Eagan, Minnesota
Property Address: o `�i• �L`�
COMPLIANCE WIIH INITIAL INSPECTION
[ ris is to certify that the property listed above has been inspected by authorized City personnel on ° 201 U
and found to be in compliance with Section 3 40 of the City Code and no corre ctive work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
City of Eapll
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that perio aping or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ' oot Intrusion, D ip /Settlement in Pipe, Other: . V - 1 ,'�
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel File)
D ate
City of Ea oll
I i 1 / ?g_iaj
1 \OCk —fig 1 C
rev 2 23 2010