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City of Eugene <br /> Public Works <br /> Application for Public Improvement Permit Engineering <br /> / ~ 858 Pearl Street <br /> Job Number: G~ Eugene, OR 97401 <br /> (541) 682-5291 <br /> FAX: (541)682-5032 <br /> Corrtract No: <br /> ~ hereb make a Ilcation for a PUBLIC IMPROVEMENT PERMIT to <br /> j ~I ~ ~ er Y PP <br /> icon$truct pu lic improvements in the public way, as described below: <br /> i Type of provement: Curb and gutter, paving, storm water, wastewater <br /> (paving, wastewater, stonnwater, street lights) <br /> I I~ <br /> Location: Kyle Estates Subdivision <br /> (street or easement work is within or subdivision name) <br /> North (or east) limit: South (or west) limit: Bogart Lane <br /> 'in strict conformance with City of Eugene standard spec'rfications for public improvements (including current addenda), <br /> construction plans approved by the city engineer or his representative, the current edition of "Procedures for Privately Engineered <br /> Projects," the Eugene City Code, and the standard and special conditions printed on this permit form. The owner/applicant is <br /> ;responsible for providing a copy of this permit to the contractor performing the work. <br /> I,~Contact Person ip~+~m John P. Hammer <br /> P.O. Box 2266 <br /> iSignature Mailing Address <br /> ~ ',Print signature here John P. Hammer <br /> Date 4/23/07 Phone 541-fiR3-1 1 fih City /State /Zip Eugene, OR 97402 <br /> DO NOT YVHRE BELOW THIS LINE <br /> PUBLIC IMPROVEMENT PERMIT <br /> ':Permission is hereby granted to applicant and applicant's. contractor to perform the work stated above, in conformance with <br /> conditions listed above, below, and on the reverse side of this permit form. <br /> i <br /> The permit shall be void unless the work described herein is completed by: <br /> ,SPECIAL CONDITIONS <br /> 'APPROVED: Date: <br /> City Engineer <br /> <br /> Enp: 804 FEBRUARY 2002 <br /> White: OwnedOesigner Canary: Contractor Pink: Inspector <br /> <br />