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I\l i City Of Orono <br />Point of Sale Sanitary Sewer Service Inspection Application <br />Inflow & Infiltration (I/1) Compliance Inspection <br />Before any property is offered for sale/transfer an Inflow and Infiltration (1/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 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: 2 2,j i cle— Ko, d rte'rV0 ia, 1e-, <br />PID: p .- iI-� "' 3 o <br />Owner Information <br />Name: <br />3 a,yj Z11 I Fee Paid: 1 4 Yes [] No <br />Mailing Address: <br />(if different from <br />Property)h <br />P0 R p 6 <br />� x <br />�P <br />Phone: <br />cl 4 --'0 Email: I<® $ ��� • <br />Fees - Inspection Fee due at time of application <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 />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 5ignature <br />Date <br />4md �' �l ©n <br />I XL �1 <br />City Review <br />Application Date: <br />3 a,yj Z11 I Fee Paid: 1 4 Yes [] No <br />Inspection Date and Time:lL <br />p <br />Inspector: <br />Compliant: [] Yes 0 No <br />a, <br />If not compliant— <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />bInspector: <br />Compliant:[] Yes 0 No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date: <br />Certificate of Compliance <br />Expires: <br />Signature: <br />Name: <br />