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Q.; <br />City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />CERTIFIED <br />EXPIRES: o�'oi�- N61 <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 1/1 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 />-li3 �1 3 •7' YJ 7 �Cj. �c`' .�7. <br />-C,Y� <br />Property Address: `j I'7 Pim c rr,J <br />PID: <br />�yJ 4 v ntri`aa <br />�..?l' .A `' Q _ a.vI.i�_�:# <br />- tzi +1- '- fl. <br />,rte E3 ,�-F. y'i,�-�ti qr 5 Al {,± 1 - X r- } H y�`ri SAINor, <br />HIM <br />, i3: _ `i` -F'. P.•y;,=E�• G1._r-r 4 - . rld. j-. ".l _ _ 79 _ <br />Name: <br />rtin a r� 5 <br />Mailing Address: <br />Inspection Date and Time: <br />(if different from <br />=F <br />Property) <br />YCt ViNuitm It L W <br />Phone. (1 t - 5 I �-a- \3 Email t' (ivy, -c s t c6� •. k �n <br />k' p. t.. Yw- � � '] �r:. t -`i=- � ���-, rsi� { S' '���,�z'•r� }:.. � y3.-.;k,�r. a5 :. .f�'' � y.'t} <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call 952) 249-4600 to ay hy phone <br />' i now <br />If you would like to hire a private inspector Inspection Company: <br />instead of allowing a City inspector to Inspectors Name: <br />complete the inspection please provide the Phone: <br />following. See private inspection info sheet. Email: <br />(y�3 -Reil ,�3\�:.. E �r.F „&-3 } r.C�rS..i `.' � e� c r• <br />'K.f Y �F.S .= .iJ('.....va .1• l_. .F+sf-'Sii'� ...__.—T_ _— .r._.. _?-_ _._.4 .—._ -i� .. .. _ _ <br />Applicants Name Applicants Signature Date <br />hL� <br />WIP <br />}i' hl hf �' '� -r--j' �.tf <br />.,' '4.�,-c-,�-ru prV,.�: ki:F��.— <br />a?fFsal.i .S tt_}z-60 <br />F . <br />Application Date: <br />o'i;- -30a1 I Fee Paid: Yes ❑ No <br />Inspection Date and Time: <br />a- y- Phi <br />=F <br />Inspector: <br />YCt ViNuitm It L W <br />n-== <br />Compliant: WYes ❑ No <br />' <br />If not compliant--- <br />Corrective Action Required: <br />rA <br />Corrective Action Due by: Re -inspection Date &Time: <br />Inspector: Compliant: ❑ Yes ❑ No <br />Gtlfl'tedfn1aervi�Vln�(rifloY:f�dlrll.�rtiite <br />4 <br />Date: <br />Certificate of Compliance <br />a?t} - <br />Expires a-d1A- <br />Si nature: <br />h <br />Name: <br />