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City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />,_.. -. vv.,. ,.uuvv -, wuvu rAP <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/1) Inspection must be . a <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°ro 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 <br />Property Address: <br />, �r <br />.$. Fee Paid: K Yes ul No <br />PID: 121`..1 '� <br />Inspection Date and Time: <br />a,U �p ; 00 4nv. <br />Owner Information <br />Inspector: <br />lr'u.h <br />Name:e-k1S0'tV <br />ufArm <br />Y,\ - <br />v <br />Mailing Address: <br />(if different from <br />Property) <br />C11-vAf-- <br />V % EM.! co—i~, <br />`M -i'- y—A <br />Phone: <br />Email: <br />Fees - Inspection Fee due at time of application <br />Residential Inspection $250 <br />Pay at city hall or Call (952) 249-4600 to pay <br />Commercial Inspection: $750 <br />by phone <br />Private Inspection Option <br />If you would like to hire a private inspector <br />instead of allowing a City inspector to <br />complete the inspection please provide the <br />following. See private inspection info sheet. <br />Inspection Company: <br />Date: <br />Inspectors Name: <br />Phone: <br />a az. a0 3b <br />Email: <br />Signature: <br />Signature <br />cants <br />Applicants Signature <br />Date <br />rte' <br />&c, M m <br />% a.� <br />M <br />City Review <br />Application Date: <br />.$. Fee Paid: K Yes ul No <br />Inspection Date and Time: <br />a,U �p ; 00 4nv. <br />Inspector: <br />lr'u.h <br />Compliant: Yes i_l No <br />v <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />Inspector: <br />Compliant: Yes I_ No <br />'Certificate'of Sanitary Service Line Inflow and infiltration Compliance <br />Date: <br />is �.a-ao 10 <br />Certificate of Compliance <br />Expires: <br />a az. a0 3b <br />Signature: <br />Name: <br />M <br />