2069 Jade Lane - COCCity of Eagan
City of Eagan, Minnesota
Property Address: z 8 :-E' `C
COMPLIANCE WIT H INITIAL INSPEC IION
; 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 AF TER CORRECTIVE WORK PERFORMED
1 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE. Applicable only if box is checked: }Based on a review of the Sewer Service video inspection /report on file, it is
recommended that vdirc ehraiing or future inspections be performed to minimize a potential blockage due for
Gyr ase Build -up, �t Intrusion 'Dip /Settlement in Pipe, Other: F' y I
imps — 35
City Approved: vv. t,
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of ka ali
rev 2 23.2010