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i cta-1L� : 51(,v 35 <br />,1 <br />1 City Of Orono <br />y� Point of Sale Sanitary Sewer Service Inspection Application <br />1�-Z3 --10&q <br />„; 30 -) a; W <br />Inflow & Infiltration (I/I) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/1) 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 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 iVERTIFIED <br />compliance. See City website or call (952) 249-4600 for more information. EXPIRES: <br />Property Information <br />Property Address: 102-6 jb fP, <br />PID: —1 `j --Z -)"' -Q0(r <br />cl--b-apy Fee Paid: Yes 0 No <br />Owner Information <br />Inspection Date and Time: <br />Name: <br />%✓ <br />Inspector: <br />Mailing Address: <br />(if different from <br />Proper <br />Compliant: Yes 0 No <br />Phone: <br />q,3a.- .-41 0— ;-�..to a. o Email: 1 <br />(� i✓ <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 />oInspector: <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 />Compliant: Yes 11 No <br />Inspectors Name: <br />Phone: <br />Email: <br />Si tore <br />Ap licap s Name <br />plipo sign4ture <br />Date <br />Signature: <br />u <br />x3i <br />(?,N� T, <br />Cb sv` <br />)a/ <br />City Review <br />Application Date: <br />cl--b-apy Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />A-S-aoal <br />Inspector: <br />Compliant: Yes 0 No <br />v <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />oInspector: <br />Compliant: Yes 11 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />—a'p-c'40aI <br />Certificate of Compliance <br />Expires: �✓�a'b' J3>< <br />Signature: <br />Name: <br />u <br />x3i <br />(?,N� T, <br />Cb sv` <br />)a/ <br />