4650 Pilot Knob Rd - COCCity of Eapa
City of Eagan, Minnesota
Property Address:
COMPLIANCE WIIR INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECIIVE WORK PERFORMED
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 Approved:
City Sanitary Sewer Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
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 periodic cleaning or future inspections he performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
Signature
Yellow Copy: City of Eagan (Parcel F ite)
City of kali
l
11, 201
i i �1
Date
rev 2 .23 2010