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City Of Orono <br />Point of Sale Sanitary Seever Service Inspection Application <br />Before any property is offered for sale/transfer an inflow and Infiltration (I/1) Inspection must be completed. <br />The inspection will look for any improper connections or significant defects in the sanitary sewer service pipe. <br />For properties that pass inspection, the City issues a Certificate of ISI Compliance which is valid for 10 years. <br />Properties that don't pass inspection are issued a correction notice delineating the problems. Repairs should be <br />completed within 90 days of the first inspection. If repairs cannot be completed prior to the transfer of a <br />property, proof of an escrow equaling 110% of the estimated cost of repairs shall be provided to the city. If <br />repairs are not completed a monthly surcharge will be applied to the utility bill until the property is in <br />compliance. See City website or call (952) 249-4600 for more information. <br />Property Information <br />b w 3 <br />Property Address: 0 <br />�r <br />A&A-ao Fee Paid: I jK Yes No <br />PID: ti 'S <br />Owner information <br />Inspection Date and Time: <br />Zl,-1'1--10 10 00 4.w• <br />Name: <br />Q <br />Ylre r' <br />Mailing Address: <br />(if different from <br />Property) <br />�<&Wclt Ca.i,\4f- <br />V 1 e,&Aj GC T , <br />m -t ->LA t rlr� N 55 4 S' <br />Phone: <br />3 — L1 to - IS 1&c`% -y Email: <br />Corrective Action Due by: <br />Fees - Inspection Fee due at time of application <br />Re -inspection Date &Time: <br />Residential Inspection $250 <br />Pay at city hall or Call (952) 249-4600 to pay <br />Commercial Inspection: $750 <br />by phone <br />Private Inspection Option' <br />Compliant: L Yes I_i No <br />If you would like to hire a private inspector <br />instead of allowing a City inspector to <br />complete the inspection please provide the <br />following. See private inspection info sheet. <br />Inspection Company: <br />Inspectors Name: <br />Phone: <br />Email: <br />Certificate of Compliance <br />Expires: <br />Si ` ature <br />Signature: <br />cants NMTM <br />Applicants Signature <br />Date <br />rye,+-' <br />F—fl, M m <br />hrcX' <br />% <br />City Review <br />Application Date: <br />A&A-ao Fee Paid: I jK Yes No <br />Inspection Date and Time: <br />Zl,-1'1--10 10 00 4.w• <br />Inspector: <br />Compliant: U Yes ii No <br />OCorrective <br />w <br />If not compliant --- <br />Action Required: <br />Corrective Action Due by: <br />Re -inspection Date &Time: <br />hInspector: <br />Compliant: L Yes I_i No <br />Certificate`of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />