4687 Beacon Hill Rd - COC4 City of Eaal
Property Address: L i (�(
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on / , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECIIVE 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):
Ti City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked:1 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 Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of 6apn
23-o 1 C
rev 2 23 2090