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CERTIFIEU <br />p ID: 48F8F9114EE84FFF43NW8F17Cn36C92 EXPIRES: 3.jb0— a0 3 <br />'WpNo <br />i City Of Orono <br />r' Point of Sale Sanitary Sewer Service Inspection Application <br />c. <br />Inflow & Infiltration U Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (UI) 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 UI 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 />Application Date: <br />PID: <br />2011723310063 <br />Owner Information <br />Name: <br />Mailing Address: <br />(if different from <br />Property) <br />1346 Ponce De Leon Dr, Fort Lauderdale, FL 33316 <br />Phone: <br />954-552-8320 <br />Email: cliff@swenson-s.com <br />Fees - Inspection Fee due at time of application <br />Residential Inspection $250 <br />Pay at city hal! or Cal! 952 249-4600 to pay <br />Commercial Inspection: $750 <br />by phone <br />Private Inspection Option <br />Inspector: <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 />Applicants Signature <br />Date <br />Swenson <br />W swemen <br />01/08/2021Cliff <br />IAQWI 1274Ar ru W1 <br />=11M <br />City Review <br />Application Date: <br />I Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />Inspector: <br />Compliant: ❑ Yes No <br />` <br />c, <br />If not compliant-- <br />Corrective Action Required:L <br />C�Qp[2. ROCrI S r o�ISLaN- C- <br />U 0� <br />Corrective Action Due by: <br />J J. Re -inspection Date & Time: <br />o <br />Inspector: <br />NgLUjK0 Compliant: ❑ Yes ❑ No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date:Certificate <br />of Compliance <br />Expires: 3-3p03f <br />Signature: aA <br />Name: <br />=11M <br />