4784 London Lane - COC41 City of kali
City of Eagan, Minnesota
Pt ()petty Address: n 'va v\ Lam. �1
COMPLIANCE WITH INITIAL INSPEC IION
14—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 AF TER CORREC TIVE WORK PERFOR.MEI)
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 r epair work under (check all that apply):
City Sanitary Sewer Permit
City Approved: 1' U \w-�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE :for
INFLOW & INFILTRATION
NOTE, Applicable only if box is checked,• Based 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 Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
4 1111 ' City of Eapa
)--Lt b-0 (
1)
rev. 2 23.2010