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~ II <br /> City of Eugene <br /> ' Public Works <br /> plication f r Public Improvement Permit Engineering <br /> 858 Pearl Street <br /> Eugene, OR 97401 <br /> i Job Number. (541)682-5291 <br /> FAX: (541)682-5032 <br /> I; Contract No: <br /> L_ hereby make application for a PUBUC IMPROVEMENT PERMIT to= <br /> l' cowrted <br /> construct public mprovements in the public way, as described below: <br /> Type of Im vement: Pav~.ng, wastewater, stormwater, street lights <br /> ' (P~9, wastewater, stormwater, street lights) <br /> Location: enore Estates <br /> (street a easement work is within or subdivision name) <br /> North (ore ) Nmit South (or west) bmib <br /> in strict confo ce with City of Eugene standarci speci~ations for public improvements (irtduding current addenda), <br /> construction pla approved by the city engineer or his represerttative,the current edition of "Procedures for Privately Engineered <br /> Projects," the E ene City Code, and the standard and spertial conditions printed on this permit form. The owner/applicant is <br /> responsible for tnviding a copy of this pennft to the contractor performing the work. <br /> Contact Person Max Liebreich ~J <br /> Signature Mailing Address ~ ~i /J ~C 3 8 <br /> Print sl nature h re ~ ~ ,~j <br /> Date ~ Phone ~ City /State /Tap u-~ ~ <br /> uo Iror w~ eeww ,tors txtE <br /> PUBUC IMPROVEMENT PERMIT <br /> Permission is h reby granted to applicant and applicant's contractor to perform the work stated above, in conformance with <br /> conditions listed e, below, and on the reverse side of this permit form. <br /> The permit shall void unless the work described herein is completed by. <br /> SPECIAL CON ITIONS <br /> APPROVED: Date: <br /> City Engineer <br /> i <br /> <br /> En~: 604 FEBRUARY 2002 <br /> yy~pa: OwnedDesigner Canary: Contractor Pink Inspector <br /> <br />