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� a13o1 ao , <br />i City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />�`tFS HOV{. <br />1 <br />Inflow & Infiltration (Ill) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/1) 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 I/I 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 />Property Address: <br />j f` �� ✓ e, cti, . G 3C1 <br />PID: <br />I'll 0 0 <br />Owner Information <br />Name: <br />; o•-. <br />Mailing Address: <br />(if different from <br />Property) <br />Phone: <br />,t7 yp+- 6:c, Email: a^,a,•F� s nzaG. <br />Fees - Inspection Fee dga4t4irne of application <br />Residential Inspection f50 Commercial Inspection: $750 <br />Pay at cityall or Call ) 249-4600 to pay by phone <br />Private Inspection Option <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 />Signature <br />Applicants Name <br />Applicants Signature , ;r,►ti <br />Date of / d <br />Compliant:[] Yes 0 No <br />City Review IC.Q,,t.ltL 4-7 lot <br />Application Date: <br />a Q I Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />Inspector: <br />Compliant:0 Yes 0 No <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time7-7: <br />aInspector: <br />Compliant:[] Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />