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—y4ak l 51 � �3 <br />City Of Orono . `� <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (1/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 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: <br />- Lj C (I_ o V C <br />PID: <br />Inspection Da Time: <br />Owner Infonnation <br />Name: <br />2 <br />a <br />Mailing Address: <br />(if different fiom <br />Property) <br />C\ m� <br />o <br />v <br />Phone: <br />a , 11 ) 0, — Email: I q W cam, <br />Fees - Inspection Fee due at time of application -13 <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 />Inspectors Name: <br />phone: <br />Email: <br />Signature <br />Certifica <br />Applicants Name <br />Applicants S <br />Date <br />GV <br />O r l�J �I c'� yV`1 ,,,-V\. <br />- 4ignature <br />`� 1`��� <br />, ( 1 <br />w 653 6 <br />(_0 vVL <br />City Review doot <br />Appli Date: <br />Fee Paid:es U No <br />Inspection Da Time: <br />Inspector: <br />Compliant: 11 Yes 0 No <br />o <br />v <br />If not compliant--- <br />Corrective Action Required: <br />Corrective Action Due <br />-inspection Date & Time: <br />oInspector: <br />Com :0 Yes 11 No <br />Certifica <br />Sanitary Service Line Inflow <br />and Infiltration Compliance <br />p <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />w 653 6 <br />(_0 vVL <br />