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City of Eugene <br /> Public Works <br /> A p[ication for Public Improvement Permit Engineering <br /> 858 Pearl Street <br /> .lob Number. ~ / ~ ~ Eugene, Ofl 97401 <br /> (541) 682-5291 <br /> FAX: (541)682-5032 <br /> Contract No: ' <br /> ill SHARON STE I NER hereby make application for a PUBLIC IMPROVEMENT PERMIT to <br /> (ar+r~r1 <br /> Construct public improvements in the public rvay, as described below: <br /> Type of Improvement: WASTEWATER <br /> (paving, wastewater, stormwater, street lights} <br /> Location: ORR LANE <br /> (street or easement work is wiltlin or subdivision name} <br /> SOUTHERLY TERMINUS OF <br /> North (or east) limit: WWMH # 3228 South (or west} limit: EXISTING ORR LANE ROW <br /> in strict conformance with City of Eugene standard specrfications for public improvements (including current addenda), <br /> t;onstruction plans approved by the city engineerorhis representative, the current edition of "Procedures forPrivately 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 /> Contact Persont~rrq on osher / SS&W Inc. -Engineers 485-8383 <br /> Signature Mailing Address 2135 ARTHUR STREET <br /> Print si rat here HARD SEINER <br /> gate - Phone 514-0089 City/state/zip EUGENE, OR 97405 <br /> - DO HOT WRITE eELOW THIS LEHE <br /> PUBLIC IMPROVEMENT PERMIT <br /> Permission is hereby granted to applicant and applicant's contractor to perform the work stated above, fn conformance with <br /> dondiltions Hsted above, below, and on the reverse side of this permit form. <br /> 1'ITe permit shalt be void unless the work described herein fs completed by: <br /> ~PECIAL CONDITIONS <br /> i <br /> ~.PPROVED: Date: <br /> City Engineer <br /> <br /> F.nq: 6q4 ~~uaRr 2.'002 <br /> Whim: Owr+errDssigner Canary. Contractor Pink Inspector <br /> <br />