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has Sa73b <br />N�No <br />City Of Orono <br />�•;,3 p��� Point of Sale Sanitary Sewer Service Inspection Application <br />o`I /oa la I <br />('3' 11`00 Am <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 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 />Property Information <br />CERTIFIED <br />Property Address: <br />3493 Crystal Place EXPIRES: a 1- Zo <br />PID: <br />03 9(01(50aj I Fee Paid: Yes 0 No <br />Owner Information <br />14-1 A- J,j <br />Name: <br />Lacey Klun seth Note: Rrevious last name As holm <br />Mailing Address: <br />(if different from <br />Property) <br />3493 Crystal Place <br />5 <br />5391 <br />Compliant: U Yes No <br />Phone: <br />612-281-0318 Email: I LaceylCungseth@iCloud.com <br />Fees - Inspection Fee due at time of aFplication <br />+0 M c "Pah-ed s,' <br />C jr &_K_, Off,{ YLc�c7{S . <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at city hall or Call (952) 249-4600 to pay by phone <br />Corrective Action Due by: <br />Private Inspection Option <br />Re -inspection Date & Time: 4-Z,%- ap <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 />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Signature <br />Date: <br />Applicants Name <br />Applicants Signature <br />Date <br />Lacey Klungseth�A <br />U�i <br />24 -Mar -2021 <br />M <br />31 <br />City Review <br />Application Date: <br />03 9(01(50aj I Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />14-1 A- J,j <br />Inspector: <br />on , <br />Compliant: U Yes No <br />v <br />If not compliant--- <br />Corrective Action Required: <br />+0 M c "Pah-ed s,' <br />C jr &_K_, Off,{ YLc�c7{S . <br />Corrective Action Due by: <br />to Wo QO a. I <br />Re -inspection Date & Time: 4-Z,%- ap <br />Inspector:SCp1A Q <br />Compliant: Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />1�- al- .�o 011 <br />Certificate of Compliance <br />Expires: Lk- \ - ao 3 <br />Signature: <br />Name: <br />M <br />31 <br />