1496 Pinetree Pass - COC4 16. City Of Etatl
COMPLIANCE WITH INITIAL INSPECTION > r
This is to certify that the property listed above has been inspected by authorized City personnel on 1/ / 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
n 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 1 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 per 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 for
INFLOW & INFILTRATION
City of E,agan, Minnes to •
Proper Address: f' q q Ll. � —
• / 1 / 1 / / 6
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea all
rev. 2 23.2010