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City of Eugene <br /> Public Works <br /> ;Application for Public Improvement Permit Engineering <br /> 858 Pearl Street <br /> ~ Job Number. t ~ ~ ~ Eugene, OR 97401 <br /> (541)682-5291 <br /> FAX: (541)682-5032 <br /> Contract No: <br /> I Lane Transit District hereby make application for a PUBLIC IMPROVEMENT PERMIT to; <br /> (owner) <br /> construct public improvements in the public way, as described below: <br /> Type oflmprovement: curbs, sidewalks, storm water, paving, bus ways, transit stations, <br /> signals (~9. wastewater, storrnwater, street IighLS) <br /> Franklin Blvd. <br /> Location: <br /> (street or easement work is within or subdivision name) <br /> 11th & Franklin Walnut <br /> North (or east) limit: South (or west) limit: <br /> in strict conformance with City of Eugene standard spec'rfications for public improvements (including current addenda), <br /> construction plans approved by the city engineeror his represerrtative, 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 /> Larry Lindley <br /> Contact Person ca <br /> Signature Mailing Address P . 0 . Box 7070 <br /> arry Lindley <br /> Print signature here <br /> Date Phone 682-246 City/State/Zip Eugene OR 97401-0470 <br /> no noT wwtE est.ow rwts t~ <br /> PUBLIC IMPROVEMENT PERMIT <br /> Permission is hereby granted to applicant and applicants 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 /> The permit shall be void unless the work described herein is completed by: <br /> SPECIAL CONDITIONS <br /> APPROVED: Date: <br /> City Engineer <br /> <br /> Eng: 604 FEBRUARY 2002 <br /> White: OwnedDesigner Canary Corttractor Pink: Inspector <br /> <br />