845 Ivy Lane - COC41 City of EaRail
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPECTION
Pt operty Address:
Ws is to certify that the property listed above has been inspected by authorized City personnel on , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
H 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 I I City Plumbing Permit
NOTE, Applicable only if box is checked: UBased 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: \ fv. V\-6-- V=
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
t
iRcg:
Signature
Yellow Copy: City of Eagan (Parcel File)
City of hp
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Date
rev 2.23.20W