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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 />comnliance. See City website or call (952) 249-4600 for more information. <br />Property Infon nation <br />Property Address: (A/ Ave , (71 Uy10 nl <br />�Nl <br />PID: os 2 31 cx) <br />Owner Information <br />Name: <br />:OD ODi bl <br />Mailing Address: <br />(irdifferent From <br />Property) <br />pyo (�-IG��Artrt. <br />Phone: <br />—� �'U Email:r3+ry 1 VYtic1t <br />Fees -Inspection Fee due at time of a plication <br />Residential Inspection $250 Commercial Inspection: $750 <br />Pav at city hall or Call (932) 249-4600 to pav by phone <br />Private Inspection Otion <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 />Inspector's Name: <br />Phone: <br />Email: <br />Signature <br />A plicants Name <br />l� . ' <br />Date <br />of ompl'ance <br />Expires: ( l � 36 <br />Signature: <br />17 <br />c001 <br />6,Ak Sr0oS <br />CERTIFIED . <br />EXPIRES:—L"-1 -30 <br />City Review�� ----- - -- -- <br />Application Date: <br />e1 e -i0 Fee Paid: Yes U No <br />Inspection Date and Time: <br />:OD ODi bl <br />Inspector: <br />pyo (�-IG��Artrt. <br />Compliant:X, Yes Iv No <br />If not compliant --- <br />Corrective Action Required: <br />Corrective Action Due by: <br />Re -inspection Date & Time: <br />Inspector: <br />Compliant: U Yes L No <br />Certificate of Sanitary Service Line Inflow and Infiltration Compliance <br />Date:Certificate <br />2.,lrJ'O�� <br />of ompl'ance <br />Expires: ( l � 36 <br />Signature: <br />Name: ZAnx lA 1P Ue <br />S <br />17 <br />c001 <br />6,Ak Sr0oS <br />CERTIFIED . <br />EXPIRES:—L"-1 -30 <br />