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• 'i <br /> <br /> Engineering and <br /> <br /> Construction A ~eement ~ ~ ~ Public w°~ <br /> g Engineering <br /> City of Eugene <br /> T~~U ~ 858 Pearl <br /> Job Number. Contract Number. Eugene, OR 974ot <br /> (541)682-5291 <br /> ~,I Capital Project Number. FAX: (541) 682-5032 <br /> The undersigned Owner requests the Public Improvements as described below: <br /> Type of improvement: ~ ~ ~ ~ GIRL N <br /> (Paving, wastewater, stormtrater, street lights) <br /> Location: ~~LPI ~B- CoV 2T t~~toR cdT~AVB S <br /> (Street or easement. If a subdivision, print subdivision name) <br /> North or east! limit: V t ~ Q ~ South or west limit ~A ~ L Q ~ <br /> ' (except for subdivisions) (except for subdivisions) <br /> be designed and constructed during the or subsequent construction season in the following manner (check one): <br /> (Year) <br /> O 1. As a C' engineered and constructed project (eligible for assessment financing). <br /> . City ag <br /> a) to perform engineering design, cost estimate, award of contract, constnxtion inspection, and assessment <br /> tabulation for the improvements; <br /> b) to partiapate in the cost of necessary additional capacity of improvements beyond the assessable amourris <br /> as stipulated in the Eugene Muniapal Code. <br /> Owner agrees: <br /> a) ~ to pay all engineering and constnu~ion costs which are not eligible for assessment finanang. <br /> b) 'rf the undersigned owner chooses to discontinue the City engineering and constn~ction process prior to <br /> execution of a construction contract, the owner further agrees to pay all engineering and other project-related <br /> costs incurred by the City to that point, and to comPlY with paragraph 2 below,rf applicable. <br /> 2. Asap vately engineered and constructed project with private financing arranged by the Owner. <br /> Owner ~Igrees: <br /> a) to install all required public improvements at no cost to the City; <br /> b) ~ to pay actual City costs incurred for plan review and processing, inspection, maten~' and other <br /> engineering services, all of which will be tilled and payable monthly with final ~ ~ 'or to City's <br /> final acceptance of the completed improvements. y <br /> c) to provide the City a bond, which includes a one-year warranb~ ~ C p coverall engineering and <br /> construction costs assoaated with completion of the rec+'' Q ~ <br /> d) to pay other charges and levies for public impro~° y, r ~ ~ rt are not limited to: <br /> / ~ ement the <br /> 1) penalty charges: in the event the pry ~ l~ ~ POKY <br /> ' owner shall be charged a penalty ( , ~t, whichever is <br /> greater. Payrnent of the penalty sl `,1 <br /> it 2) interest charges: Property owner sh ~ / 's;nt (18°k) <br /> II per annum from the due date until P~ ~ ~ ~ 1 " <br /> PROPERTY O,~NER C ~ <br /> ~ \ <br /> PROPERTY 'S NAME CO-0WNER'S NAME (p~6x) ~~~JJJ <br /> RE SIGNATURE <br /> .Z - <br /> DATE DATE <br /> ~ nn <br /> ~5 "~n?fc f K<` c P r r C(~ <br /> #DDRESS /7 ADDRESS .STREET <br /> ~ ~-t' G. ~ . l C.s L k ~ 7 6 _~~aENE, OREGON 97401 <br /> Cm" /STATE /ZIP CITY/STATE /ZIP <br /> PHONE NUMBER (bt+siness /aurrs) PHONE NUMBER (business haur~ <br /> ENG (429) ORIGINAL /CRY YELLOW /OWNER PINK /INSPECTOR FFBAUARY20Lr2 <br /> <br />