4739 Walden Dr - COC4 4 1 0 1 City of Eagan
City of Eagan, Minnesota
Property Addt ess: " \ Pl /
\
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on �C a , 201 CS
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):
n City Sanitary Sewer Permit n 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 be performers to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: /
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Epp
Date l 2 //S 7 a
rev 2 23. 2010