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~ppl'i~,ation foal Public Improvement Permit City of Eugene <br /> Public Works Engineering <br /> 1 ' 858 Pearl Street <br /> Eugene, OR 97401 <br /> Job Number '~lJ~ " _~ntract Number 541.682.5291 Phone <br /> 541.682.5032 Fax <br /> I, Jeff Parker hereby make application for a PUBLIC IMPROVEMENT PERMIT to construct public improvements <br /> (owner) <br /> in the public way, as d scribed below: <br /> Type of improvement: Paving, wastewater, stormwater, street lights <br /> (paving, wastewater, stormwater, streetlights) <br /> Location: Timberline Hills Phase 4 <br /> (Street or easement. work is within or subdivision name) <br /> North (or east) limit: Summerset Hills VIII (North) South (or west) limit: The Summit PUD (West) <br /> i <br /> ir;I strict conformance th City of Eugene standard specifications for public improvements (including current addenda), construction <br /> pilaus approved by the ity engineer or his representative, the current edition of "Procedures for Privately Engineered Projects," the <br /> Eugene City Code, and he standard and special conditions printed on this permit form. The owner/applicant is responsible for providing <br /> a copy of this permit to he contractor performing the work. <br /> Contact Person (print) ompass Engineering, Stacy Stubblefield, PE Phone Number 503-653-9093 <br /> NA flE <br /> Sta y Stubblefield Billing information: <br /> PflINi 51~ NATUNE <br /> ~ ~ Same ~ Different, see below <br /> 1 /9 2008 <br /> ` i DATE Jeff Parker, Parker Development <br /> 410 SE International Way, Suite 501 NAME <br /> MAIUNGADDflE55 1750 SW Blankenship Road <br /> Mil aukie, Oregon 97222 &WNG ADDNESS <br /> cR,.,ST TEinP West Linn, Oregon 97068 <br /> 503 653-9093 onisrATEiziP <br /> PHONE MBEfl (business Mursl <br /> PUBLIC IMPROVEMENT PERMIT <br /> Permission is hereby gr ted to applicant and applicant's contractor to perform the work stated above, in conformance with conditions <br /> liskec~ above, below, and on the reverse side of this permit form. <br /> s <br /> <br /> Tte hermit shall be void unless the work described herein is completed by: <br /> I SPECIAL CONDITIONS <br /> 1' <br /> PPfaOVED: ' DATE: Original to the City of Eugene <br /> city engineer Copies to Owner, Co-owner, and Inspector <br /> <br />