4634 Kingsbury Dr - COC41 City of Eapll
COMPLIANCE WITH INITIAL INSPECTION
' This is to certify that the property listed above has been inspected by authorized City personnel on [ 6 —I , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
I!
City of Eagan, Minnesota
Property Address: 9 (0 4
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 requited corrective repair work under (check all that apply):
pi City Sanitary Sewer Permit 1 1 City Plumbing Permit
City Approved: -- \11P , Ova.
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 inspectionheport 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
Signature
Yellow Copy: City of Eagan (Parcel File)
11 City otEaQaIl
L
Date
rev. 2 23 2010