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5 1a � I <br />City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (P 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 1/1 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 Ci website or call (952) 249-4600 for more information. <br />XOCV� <br />Property Address: <br />CERTIFIED <br />PID: <br />EXPIRES: j - <br />1 1 1 1 7oi 3 I <br />Information <br />Name: <br />IQjoa. I I Fee Paid: <br />Mailing Address: <br />(if different from <br />Property) <br />- <br />Phone: <br />t Z e0 '7 5,;R-0 Email: All -r& <br />Fees - Inspection Fee due at time of application <br />Residential Inspection $250 Commercial Inspection: $750 <br />at city hall or Call (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 Name AppLicants Signature <br />Date <br />M <br />011M <br />W <br />City Review <br />Application Date: <br />IQjoa. I I Fee Paid: <br />Yes 0 No <br />Inspection Date and Time: <br />0`, '?)I) <br />Inspector: <br />Compliant: I Yes 01 No <br />if not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & 7-irne: <br />Inspector: <br />Compliant: P <br />Yes E No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: y o11 <br />1' ` ' <br />Certificate of Compliance <br />Expires: <br />Signature: 44AAA� <br />Name: -f:� fille- 14fj3± <br />I�V <br />M <br />011M <br />W <br />