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City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />I JILj jaual 10Y& <br />G,4'n <br />Inflow & Infiltration(I/1).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 UI Compliance which is valid for 10 years. <br />Properties that don't pass inspection a;e 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 />PropInformation <br />Property Address: �„ C-; b/2 <br />PID: l i l t "la 1 <br />Owner Information <br />Name <br />Mailing Address: <br />(if different from <br />Property) <br />Inspection Date and Time: <br />Phone: <br />12- V / 7 5 ,?6 Email: <br />Fees - Inspection tion Fee due at time ofapplication <br />Residential Inspection $254 Commercial Inspection: $750 <br />Pay at city hall or Fall (952) 249-4600 to pay by phone <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 Company: <br />Inspectors Name: <br />Phone: <br />Email: <br />Signature <br />Applicants dame A pl cants Si atureDate <br />City Review <br />Application Date: <br />lA L I QQ,21-1Fee Paid: Yes 0 No <br />Inspection Date and Time: <br />relaoal I ri ctrl <br />Inspector: <br />Compliant:0 Yes 0 No <br />zCorrective <br />v <br />If not compliant --- <br />Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />cis <br />Inspector, <br />Compliant: 01 Yes .� No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance' <br />Daze: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />