i <br /> City of Eugene <br /> Public Works <br /> plication fo Public Improvement Permit Engineering <br /> 858 Pearl Street <br /> I~lob Number. ~ 7i Eugene, OR 97401 <br /> (541) 682-5291 <br /> FAX: (541)682-5032 <br /> Contract No: <br /> Tom & C is Houser <br /> N~ hereby make application for a PUBLIC IMPROVEMENT PERMIT to <br /> ' construct public im rovements in the public way, as described below: <br /> Type of Impro ment: Paving, wastewater, stormwater, street lights <br /> (paving, wastewater, stormwater, street lights) <br /> ~I Location: R sewood Meadows Subdivision <br /> I! (street or easement work is wHhin or subdivision name) <br /> North (or east) imit: 400' East of Hammock South (or west) limit: Hammock Street <br /> in strict conforman with City of Eugene standard specifications for public improvements (including current addenda), <br /> construction plans proved bythe city engineeror his representative, the current edition of "Procedures for Privately Engineered <br /> fliIrojects," the Euge a City Code, and the standard and special conditions printed on this permit form. The owner/applicant is <br /> responsible for prov ing a copy of this permit to the contractor performing the work. <br /> ~ontact Person Cri r <br /> I ~ <br /> ~ignature ~ < Mailing Address PO Box 2 4 9 0 6 <br /> F~rirrt signature here ri s ouser <br /> Gate Phone (541) 954-510~y/State/Zip Eugene, Oregon 97402 <br /> oo nor wry e~ow rats ~ <br /> PUBLIC IMPROVEMENT PERMIT <br /> Pl~mtission is hereb granted to applicant and applicants contractor to perform the work stated above, in conformance with <br /> c~ndibons listed abo e, below, and on the reverse side of this permit form. <br /> The permit shall be id unless the work described herein is completed by: <br /> S~'ECIAL CONDITI S <br /> A~PROVED: Date: <br /> City Engineer <br /> <br /> Eng: 904'..., <br /> YVhite: OwnedDesigner Canary: Contractor Pink Inspector FEBRUARY 20Q2 <br /> <br />