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V~ <br /> En i~heerin and <br /> ~o structi n A regiment <br /> 9 <br /> Jpb Number: 7 7 ,z ~ Contract Number. ~ E. Bruay <br /> Eugene, OR 97401 <br /> OIFFige Fde Number. Capital Project Number: (541) 687x560 <br /> FAX: (541)984-8410 <br /> The signed Owner requests the Public improvements as described below: rn: (541) 687245 <br /> Type of improvement: n ~j Tn'-~. <br /> (Pavi , sanitary sewr3r, stcxm sewer. sidewall~ eta) <br /> , ~.UU r_ <br /> !_oc,~tion: f'Vt;1lYhPrY] /P1Y`i~J/'y ~1~1r~/[y7 t~(7b~.td'eL <br /> (Street a a subdivision, print subdmtsion name) <br /> North or east limit South or west limit <br /> (except fo~rstnbdivisions) (except forsubdhnsions) <br /> b~ and cxx>,structed during the _ or subsequent construction season in the following manner (check one): <br /> r~~ <br /> l7 as a ah? en~nserod and oonstruclsd project (eligible for aaesssaront financing). <br /> ~n?: <br /> ~ ~ D ~ coat estirr>aae, award d contract, cor>stn,ction k,epection, and assessment <br /> tebuiatia, br the improvements: <br /> b) to perUdpate in the cost d necessary erdditiorrei Y d improvameMs beyond the agsessabie amourds <br /> as in the Eugene Municipal Code. <br /> Owner agrees: <br /> a) to pay ad engineering and oor>strudion costs whi~;h are not eGg~le for asseasnlent 9• <br /> b) ~ the undersigned owner daoaes to drsoontirwe the Cdy engineering and lion process prior 10 <br /> execution d a oonsiruction contract.the owner further agrees to pay aM engineerinp and otl~er pnojecKela~ed <br /> costs incurred by the Cily to that point. and b comply with pata~ph 2 bekrly, if applicable. <br /> 2 As a privately engineered and oorrefructed project with prhraae Anarrdog arranged by tho Owner <br /> Owner agrees: <br /> a) m irwtaU ad regained public improverrrer>ts at no oust to the may: <br /> b) m pay actual Cdy poets iraurred for plan review and ptocess~rg, inspection, rrraterials testing, and ottrer <br /> angirteering services. ad d wFrch wdl be bided and payable montMy with fxml payment due pion to Cdy's <br /> firNll aoceptarrce d the completed irrlprovemerlts. <br /> c) to provide the C•ily a bond. which includes s ors-year warranty period, in an amount suNicient to Dover ad engineering and <br /> construction costa associated wdf? completion d the required public kr>provertrerds. <br /> d) to pay other drarpes and levies •for public ImproverneMs, if required. Otl~er urges may iralude, but are rrd~dmited to: <br /> 1) penalty drarges: h the event the property owner fails to make payrria4 when due under this agreement, the property <br /> owner shad be drarped a per>edy in the amount d 52.5 or ten percent (1096) d the past due amolrt, whk~rever is <br /> greater. Payment d the penally shad rat oor>situte a waiver by the City of its other renred~es. <br /> 2) interest drarges: properly owner shad pay interest on ad past due amourds at the rate d eighteen percent (1896) <br /> per annun irom the due date until paid. This sum shad be in addition tp penally charges. <br /> PROPERTY OWNER CO.O'YVMER I/,I~ ~ 0 iE <br /> ONME 'S NAM 00~0'WNERS NAIME TORE <br /> sly. y'IZA+.t~~~ ~MLY/' <br /> A U ~ ~ fJ~ SK;NATaRE Tm.E ~ /s/O~ n ~ r~ <br /> DA ~ QATE DATE / <br /> ADDRESS 7TI PEARLSTREET <br /> yC~r°~ ~ ~~4(~~ Eac;a~E. oREaoN qr~m <br /> / ATE/LP~ 1 3® ~ cmr/STATE/DP <br /> PFIONe NUAA•ER (Dui ~hotx7y ~ PFIDNE NUI~ER (DusfrN~s Aoursl <br /> <br /> ~ ORKiN~AI/ CnY YELLOW /OWNER PINK / ~ AUCaUS71996 <br /> <br />