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City Of Orono Ql ;o o am. <br />Point of Sale Sanitary Sewer Service Inspection Application"e �' p�— 3 O - <br />Inflow & Infiltration (I/I) Compliance Inspection <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 1/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 Citv website or call (952) 249-4600 for more information. <br />Property Information <br />Property Address: <br />1200 Old Crystal Bay Rd, Wayzata, MN 55391 <br />PID: <br />Application Date: <br />Owner Information <br />Name: <br />Thomas J. Abood Revocable Trust u/a dated August 17, 2012 as amended <br />Mailing Address: <br />(if different from <br />Property) <br />6 508 E Bar Z Ln, Paradise Valley, AZ 85253 <br />Phone: <br />612-247-0767 Email: I aboodtom@gmail.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 <br />' <br />A p is S' at r <br />Date <br />Thomas J. Abood, trustee <br />Jv� <br />2/3/21 <br />1 <br />City Review <br />Application Date: <br />I Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />a - 5-o1Q i (1 - <br />Inspector: <br />p,Ip-h LLAVL <br />Compliant:0 Yes No <br />o <br />If not compliant--- <br />Corrective Action Required:` <br />Q ,,,�.,1rs w\+rt_. Rpt+c. TvtC r-!bv%.C.�av-c Vtoko <br />i L otiJTLC, W <br />Corrective Action Due by: <br />rj 11 <br />Re -inspection Date & Time: <br />oInspector: <br />I <br />Compliant: [I Yes 0 No <br />Ln <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />