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Cj�O 0a4ln <br />U*., <br />a40-Q,0City Of Orono Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration I/I 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 VI 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: lollo pnLia,wa- oad— Orono <br />PID: 06'—//7-2.3 13 00/3 <br />Owner Information <br />Name: <br />2n7 a, orske- <br />Mailing Address: <br />(if different from <br />Property)Cs►Gel7tel�od <br />tivi // be. in '14Auary <br />a1 qs5 Afh7n rt,&a. B/Vd $ <br />MN 65-•a•3/ <br />Phone: <br />(0/2 $ 5' • 7333 Email: 1 5noWMn143 Ll qo% Com <br />Fees - Inspection Fee due at time of application <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call 952 249-4600 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 ;tr,! <br />Applicants Si ature pp f ate /z <br />If not compliant--- <br />Corrective Action Required: <br />P <br />tt <br />"J' 'L to r] <br />City Review <br />Application Date: <br />lal i Ian I Fee Paid: <br />I W Yes 11 No <br />Inspection Date and Time: <br />13,1161 aozb 9:U0 c1,m. <br />Inspector: <br />^E ` hA\-, C, CAYV— <br />Compliant:11 Yes No <br />a� <br />If not compliant--- <br />Corrective Action Required: <br />Corrective Action Due by: <br />3 to aA 1 \ <br />Re -inspection Date & Time: 1 131 a0 <br />a <br />Inspector: Cr*p <br />Compliant: <br />Yes No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />1 �) a0 a1 <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />P <br />tt <br />"J' 'L to r] <br />