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w <br /> it City of Eugene <br /> Pul~iic Works <br /> ~?pp[icafion• I r Public Improvement Permit Engineering <br /> .lob Number. ~ ~ ~ E <br /> g nee O>~ 97401 <br /> • (541) 682-5291 <br /> FAX: (541 }682-5032 <br /> Contract No: ~ ?,,t' <br /> I, STEVE 1"}I r' IC KIkY ~N VESTMENT CO, hereby make application for a PUBLIC IMPROVEMENT PERMIT to <br /> j (owner) <br /> construct public i rovemerrts in the public way, as described below: <br /> I~, Type oflmp vement: TRAFFIC SIGNALr J~EDIAN AMD STORI'IwATEIZ IMPRDVEHENTS <br /> (paving. wastewater, stolrnwater, street Itgrris) <br /> I <br /> ~I Location- ~ IIRG RD/tD $ETwEEM ~AKu/A oAD AND D o T W <br /> (street or easement work is wRfiin or subdivision nartie} <br /> North {ore )limit: STA `7 + 29 South (or west) limit: STA 6 ~ + 86 <br /> in strict contorrrt nce with City of Eugene standard specffications for public improvements (including current addenda}, <br /> construction plan approved by the city engineeror his represen[ative,the current edition of "Procedures forPrivately Engineered <br /> ~ Projects," the Eu ene City Code, and the standard and special conditions printed on this permit form. The owner/applicant is <br /> II responsible for pr iding a copy of this permit to the contractor perforating the work. <br /> i <br /> ~ Contact Person rq STEYE KD jzTN <br /> I <br /> 'Signature Mailing Address 2350 DAK1'toNr V?AY STE Zd <br /> Print signet h STEVE G~ N~/E~TlyENT Co. <br /> ;Date 6 Phone `8S- ! City/State/Zip E>_il~E?•iE OK 9"7~f"D ~ <br /> i _ <br /> oo xor wsrrE a Flow nas uro: <br /> I <br /> PUBLIC IMPROVEMENT PERMIT <br /> hermisslon is he y granted to applicant and applicant's contractor to perform the work slated above, in conformance with <br /> 'conditions listed ove, below, and on the reverse side of this permit form. <br /> illie pennit shall b void unless the work described herein is completed by: <br /> ~P!^ClAL CONDIT ONS <br /> ~i <br /> ~'i~PPROVED: Date: <br /> City Engineer <br /> <br /> Ertg: 6q4 FEBRUARY 20102 <br /> ~I 1Nhite: ownerrDasi9r~er Canary. Carrtractor Pink Inspector <br /> <br />