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� / <br /> � ' t ( _ �_, <br /> CITY OF ORONO APPLICATION FOR DEMOLITION PERl�1IT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, �1N 5�323 <br /> SPECL�I. CO�'DITIONS & HOLD HARti1LESS AGREEI�IENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burninQ, well abandonmment, etc. <br /> 2. Work must not be�in unless the permit card is available on the job site. <br /> 3. A 24 hour notice is required for all inspections. Call 473-7357. <br /> JOB STI� ADDRESS: 5 �/z 5 �"�1 S-� C�-f � � s �t <br /> Occupancy Type: Residential Commercial <br /> O`Yti�ER'S N��IE: 3 ��� S � '� C � � Sf Phone: ��7 �Z /Z S� <br /> Mailin� Address: � /� � City: Cj � ,� � <br /> COr"TRACTOR�s �r��: � ►�� L �./,q✓�Jl � Bus. No.: �7G �-z � z s� <br /> Nlailing Address: ��� S '� �'�/f� �' G9/: � City: � �G ti � <br /> Demolition if planned by means of: � manual disassembly <br /> heavy equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> ## Burnin� Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <br /> l. 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 adjoininJ property and/or the public rights-of-way <br /> unless 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 with all <br /> applicable PCA requirements. <br /> 5. Water wells must be abandoned in accordance with State Health Department re�ulations. <br /> 6. Inspection required when all debris has been removed, before backfillin�. <br />