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(,` ) City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />�kES ItOv'/ <br />Inflow & Infiltration (UI) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (I/I) 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 />PID: <br />-Jt -ab <br />I Fee Paid: Yes 11 No <br />Owner Information <br />Inspection Date and Time: <br />Name:�— <br />Mailing Address: <br />(if different from <br />Property) <br />1 <br />-7 43 — 3 70 .— f v d b — o "A - C e► 1 <br />Phone: <br />•— q7:3 V I Y Y 3 1 Email: 1 iZ+Ak e 9 A- <br />Et26 SV2e•W j <br />Fees - Inspection Fee due at time of application <br />v <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call (952) 249-4600 to pay bji 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 />oInspector: <br />Phone: <br />Email: <br />Signature <br />Applicants Narne <br />Applicants Signature <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date <br />PM-o"e C—T, F,-Wtz T- <br />1 l <br />r 243rI ZCi <br />a <br />J <br />T7L� ajUT <br />City Review <br />Application Date: <br />-Jt -ab <br />I Fee Paid: Yes 11 No <br />Inspection Date and Time: <br />► q- ap Q, <br />Inspector: <br />YVICwt.,l./Ut.(L. <br />Compliant: Yes 11 No <br />v <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />oInspector: <br />Compliant: 0 Yes 13 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />1 l <br />Certificate of Co <br />Expires: 1%►1�zw <br />pliance <br />Signature: <br />Name: <br />J <br />T7L� ajUT <br />