Fillable Time Of Sale Inspection Application (City of Indianola)

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Time Of Sale Inspection Application (City of Indianola)

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U.S.A. forms for City of Indianola

BROWSE CITY OF INDIANOLA (IA) FORMS

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I NSPECTION APPLICATION
Inflow and Infiltration Compliance Inspection
I have read and agree to following:
Property Address/Location (Printed)
Property Owner Name
Address City State Zip
Day Phone Cell Phone Email
Property Owner’s Representative Phone
Address City State Zip
Applicant’s Name (Printed) Applicant’s Signature Date
Staff Use Only
Inspection Fee Fee Paid Permit
Residential - $50 Yes Approved
Re-inspect - $25 No Denied
Signature of Water Pollution Control Manager Date
Type of Inspection Requested (Fee due at time of application.)
Residential I/I- $50.00 Re-inspection - $25.00 Sump Pump Inspection - $25.00
Water Pollution Control • 1187O Hoover Street • PO Box 299 • Indianola, Iowa 5O125 • Phone: (515) 961-9416 • www.indianolaiowa.gov
Sump Pump - $25
Reason for Denial
**Homeowners will be required to remove the sewer cleanout cap prior to inspection.**
Certificate of Compliance will be available for pick up at City Hall aer 3 business days.
• Any improper or
illegal connections must be corrected before a Certificate of
I/I Compliance is issued.
• As of July 1, 2018, the Inflow/Infiltration Inspections will be a Voluntary
Inspection and no longer required when selling your home.
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Time Of Sale Inspection Application (City of Indianola)

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Completed 14 July 2020

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