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� <br /> CITY OF ORONO APPLICATION FOR DEI�iOLITTON P`ER�ti1IT <br /> P.O. Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, ivlN 5�323 ;.,v'r' I � �i��i <br /> SPECLAL CONDITIONS & HOLD HAR�TLESS AGREEI�f��"T <br /> General Instructions <br /> l. You may be required to obtain other permits, i.e. burnin�, 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 /> � , ��F <br /> JOB SITE ADDRESS: L :�'�c:�'C.�� j ;'�%'t�r r''✓. I'r`����R�� �.G . —'C�f�,� ���/i <br /> Occupancy Type: � Residential Commercial <br /> „ <br /> Oti"vitiTER'S N���• �N�� '�fic��G f��� , �'�. Phone: �;�'�t�� �`��,Y- <br /> Mailin� Address:��7 �.� ��vi��4:f= �CG. Ciry: ;"-�Tu2� �� 3�% <br /> CON'I'RACTOR'S NAi1�: <br /> i,�ES gEN,�r�-t���r�� Bus. No.: `�ic"7'1 - ((�i' '\� <br /> Mailing Address: l�?�0S /��Y tZ ,'�ni��p���F�+>(.� City: �n(���'f��`nr�� <br /> Demolition if planned by means of: manual disassembly <br /> k' heavy equipment <br /> burnin� (by fire department) <br /> Permits Issued: <br /> # Burning Fire Department <br /> # Well Abandonment <br /> In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as <br /> follows: <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 adjoinina 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 regulations. <br /> 6. Inspection required when all debris has been removed, before backfillin�. <br /> n�� <br /> -l� <br />