4648 Pinetree Curve - COC4 City of Evan
City of Eagan, Minnesota
Property Address: 1 4 b C_k A v
COMPLIANCE WITII INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on I , , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE At IER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: USased 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:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel x ile)
l
Date
3 1 -o L Z
City of Evan
rev 2 23.2090