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1l1 City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (I/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 />City Review <br />Property Address: <br />1 2— e, <br />b ' } t U1—U',j0 <br />MN 5S39 <br />PID: <br />Inspector: <br />Owner Information <br />Compliant: Yes U No <br />Name: <br />o <br />v <br />V e- r -- <br />Mailing Address: <br />(if different from <br />Property)erJ <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />Phone: <br />Inspector: <br />Email: I CJ�CkIQLA e <br />, <br />Fees - Inspection Fee due at time of application <br />Residential Inspection $250 <br />Pay at city hall or Call 952 249-4600 to pay <br />Commercial Inspection: $750 <br />by phone <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Private Inspection Option <br />Date: <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: 6 V2 - W6 <br />2 U S <br />Email: <br />Signature <br />Applicants Name <br />Applicants Signature <br />Date <br />N- ` G)ey-,(� <br />(2J ► <br />12d Z� <br />11 <br />City Review <br />Application Date: <br />1p -I - zdo11 Fee Paid: Yes 11 No <br />Inspection Date and Time: <br />Inspector: <br />Compliant: Yes U No <br />o <br />v <br />If not com liant--- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />o <br />Inspector: <br />Compliant:[] Yes 11 No <br />U1 <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />