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CITY OF ORONO APPLICATIO�' FOR DEMOLITION PERl�iIT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, �SN 5�323 <br /> SPECL�I. COti�ITIOVS & HOLD HARiti�LESS AGREE�iENT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burnina, well abandonmment, etc. <br /> 2. Work must no� 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 /> � .� . / ��Z (� � <br /> JOE SITE ADIRESS: / � � <br /> Occupancy Type: �_Residential Commercial <br /> O`Vti�R'S N��IE��� � /���Oc.c+ T/1 Q.S� Phone: �7� - /721� <br /> Mailin� Address:/p,�S i�[l �'_/N�c�-/2 •P� Ciry: pQo^/o <br /> COr"TRACTOR'S NAi�: � y .���,.;t/,L_�5.:,�, ';� Bus. No.: ���' - %�U 7 <br /> c'f rr"::� !,:' C1�: t^/�/<:' i _,i.•..i C'_L <br /> Nlailing Address: �� -��=, � ��%, >� _ � <br /> ,:��-� ,- <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 kep[ off adjoinin� property and/or the public ri�hts-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 /> ^ $. Water wells must be abandoned in accordance with State Health Deparnnent re�ulations. <br /> � <br /> 6. Inspection required when all debris has been removed, before backfilling. <br />