4641 Summit Pass - COCCity of hp
COMPLIANCE WHIT INITIAL INSPECTION
X T is to certify that the property listed above has been inspected by authorized City personnel on 2 -5, 201 C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
n City Sanitary Sewer Permit
NOTE, Applicable only if box is checked: used 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: i 2-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: '—1 (.0 / (,) i/;•c. rye t P2_5'
n City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of Eapll
I 14
Date
rev 2 23 2010