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Authentlsign ID: 85C89COE•D7564CD5-A7F9-1 E3EFF93FDCA <br />Q`�NO <br />City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />CERTIFIED n� <br />EXPIRES: 4-(,;.-ao3i <br />Inflow & Infiltration 11I) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/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 14 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 />11233 Briar Street <br />PID: <br />10-117-23-24-0030 <br />Owner Information <br />Name: <br />Maria & Nate Schouvieller <br />Mailing Address: <br />(if different from <br />Property) <br />Phone: <br />612.875.5530 1 Email: Imaria._ schouvieller@cargill.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 />A plicants Signature <br />Date <br />Maria S. Schuuvieller <br />hswrr <br />.Manta S.SeRaualef" <br />04/01/2021 <br />0 <br />v <br />a <br />4/1120219:18:25 AM CDT <br />City Review <br />Application Date: <br />`i 01 2. ;Lj Fee Paid: A Yes 0 No <br />Inspection Date and Time: <br />y'% (�� <br />Inspector: <br />0. Gy, (N . <br />Compliant:M Yes 0 No <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />Inspector: <br />Compliant:0 Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />4-10- cl6W <br />Certificate of Compliance <br />Expires: I-i—lo- o103I <br />Signature: <br />Name: yle-ftiw <br />