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. . . � � <br /> ��,�� <br /> CITY QF ORO�'O APPLICATION FOR DEMOLITION PER�ti1IT <br /> P.O. Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, �1N 5�323 <br /> SPECL4I, CONDITIONS & HOLD HAR�ILESS AGREEME�rT <br /> General Instructions <br /> 1. You may be required to obtain other permits, i.e. burning, well abandonmment, etc. <br /> 2. `Vork 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 /> � . � �/� <br /> JOB SITE ADDRESS: .��,' ' �' C,�u,�� /C.'c� � � c�-zC�, � ����.� � �, /(�. S� 3S� <br /> Occupancy Type: �Residential Commercial <br /> ��, <br /> O�i�rER'S N�itiIE: -�=v-c ' ..��acz�2�'-�� Phone:(����J�7� ��,5� - <br /> Mailin� Address: /% �� f.,-Y, �z_c� /.���.�: .Ciry:����r��<T�%�/ �� s�3.s � <br /> � � • �'i��,_ c`2��> <br /> CONTRACTOR'S NA11�:.� �j ��'�2� ,�Z � _ ' Bus. No.. <br /> ' Q ddress: ' v ��% __l� ` Ciry: j ��_ -��,z, <br /> Ma�lin� t� ( � <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 undersi�ned 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 adjoinino 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 reb lations. <br /> 6. Inspection required when all debris has been removed, before bacl�illing. <br />