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1u/10/2006 15:00 FAX 7635319278 L Mueller Sales Corp. 11 el002/003 <br /> Oct. 10. 2006 2: 58PM BE 763479011 5 N . 4831 I. 2 <br /> P 0155' <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal say, MN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Xnstructiuus <br /> 1 . You may be required to obtain other permits, i.e. well abandonment, etc. <br /> 2. Work. must not begin unless the permit card is available on the job site, <br /> 3. A 24 hour notice is required for all inspections. Call (M) 249.600. <br /> 30131. <br /> SITE ADDRESS:--.... ..�t�,�,:'-- (,tar!-�����t}t,J>1J R . , `) -2512/0.µ.ww...�. <br /> Occupancy Type; esidemial Commercial <br /> OWNER'S NAME: B)b&�\)e t vywH- Phone: <br /> Mailing Address: <br /> �tL_ c�r <br /> CONTRACTOR'S NAME: 'J.-. c c--; j, C us o . '-)6-13.. l`/-r-% ) <br /> M �/ <br /> �ulinc Address: `�7/../`� �ni�t7 jZ;�- `jl �t� � City <br /> Demolition. if planned by means of: manual disassembly <br /> heavy equipment <br /> Permits Issued: <br /> Well Abandonment <br /> in return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: <br /> 1. <br /> The structure(s) shall be Icept enclosed and/or secured until such time as demolition is <br /> complete, <br /> 2. Demolition debris will be kept off adjoining property and/or the public rights-of-way ul;ic;;. <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. An demolition debris shall be completely disposed of off site in accordance with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Depa:itnncnt regulations. <br /> 6. Sewer and water trust be disconnected at the services at the street by qualified conlf ac:tn, . <br /> 7. Inspection required when all debris has been removed, before backfilling. <br />