1303 St Andrew Blvd - COC11 City of Emil
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on / 2 / 3 , 201 C
'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
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):
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pio P erI Y Address: \3 n3 c Jfe,„
City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: OBased on a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic 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:
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 2 23.2010