4814 Richard Lane - COCf 1V PLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 1/z , 201n
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
City of E ,all
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):
[i City Sanitary Sewer Permit
NOTE: Applicable only if box is checked.. (Based on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning or Mute inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: T z-r1
White Copy: Property Owner
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minpeso
Praperty Address:
.- f.
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
/
Date
4 City of Eagan
rev 2.23 2010