4855 Richard Lane - COCCity of hp
City of Eagan, Minnesota
Property Address: L 1 SS �
COMPLIANCE WIIII INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on 1, 1— 0 , 2016
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
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 Plurnbing Permit
NOTE: Applicable only if bar 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:
City Approved:
41 City of fla pp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010