4625 Summit Pass - COCCit of Ea an
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on / / l d K, 201
nd 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):
NOTE Applicable only if box is checked.; Eased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Pr opetty Addr ess:
City Sanitary Sewer Permit City Plumbing Permit
Print name
White Copy: Property Owner
City of Eagan, Minnesota
17.71
City of Evan
I / / �-��
Signature Date
Yellow Copy: City of Fagan (Parcel F ile)
rev. 2 23.2010