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� q�5� �� <br /> . <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NIN 55323 <br /> SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. well abandonmment, 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 (612) 249-4600. <br /> JOB SITE ADDRESS: I Z-�-[ ��Gw�1 1�1 <br /> Occupancy Type: ✓ Residential Commercial <br /> OWNER'SNAME: ���Y�(,l..l�% ��t,�►� Phone: �Z �� <br /> Mailing Address: � �Ql vv� City: 11'0 <br /> CONTRACTOR'S NAME: �j�Q��.�1�5�'���d f5 �� Bus.No.: - � ' � � <br /> Mailing Address: ���,rv�[�Gt,�,.Q City: <br /> � <br /> Demolition if planned by means of: manual disassembly <br /> heavy equipment �bC(�" <br /> Permits Issued: <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follo�vs: <br /> 1. The structure(s) shall be kept 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-�vay unless <br /> specific prior approval is obtained in writing for temporary use thereof. <br /> 3. Foundations shall be completely removed from the ground. <br /> 4. All demolition debris shall be completely disposed of off site in accordance �vith all <br /> applicable PCA requirements. <br /> 5. Water�vells must be abandoned in accordance�vith State Health Department regulations. <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />