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TTl/ I City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration I/I Compliance Inspection <br />Belin•e 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 I/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 City website or call 952 249-4600 for more information. <br />Property Information <br />Property Address: 5 S O k1,r o 2 r) QQ,-,-o FWPIRGS'—a,a.- <br />4003 <br />PID: <br />- <br />Owner Information <br />Yes 0 No <br />Name: <br />1✓ nJ W A M a p( <br />Axil gog'100 41n <br />Mailing Address: <br />(if different from <br />Property) <br />Inspector: <br />Phone: <br />12 1 q 010-2 Email: Sean Wo,-mlool <br />e lalcu .ctA <br />Fees - Inspection Fee due at time of application <br />If not compliant--- <br />Corrective Action Required: <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pay at cily hall or Call 952 249-4600 to pay by hone <br />j <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 Com an : <br />� <br />o <br />Inspectors Name: <br />Phone: <br />Email: <br />Signature <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Applicants Name <br />Applicants Signature <br />` a` a " a0 a1 <br />Date <br />Certificate of Compliance <br />Expires: y — "- �O <br />Signature: <br />U <br />City Review <br />Application Date: <br />- <br />Fee Paid: <br />Yes 0 No <br />Inspection Date and Time: <br />Axil gog'100 41n <br />Inspector: <br />Compliant: Yes 0 No <br />v <br />If not compliant--- <br />Corrective Action Required: <br />j <br />Corrective Action Due by: <br />Re inspection Date &Time: <br />� <br />o <br />Inspector: <br />Compliant:[] Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />` a` a " a0 a1 <br />Certificate of Compliance <br />Expires: y — "- �O <br />Signature: <br />Name: <br />p,� <br />U <br />