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'`.a <br /> Public Works <br /> Engineering <br /> <br /> Engineering and City of Eugene <br /> C©nstruction Agreement g5g Pearl <br /> Eugene, OR 97401 <br /> Contract Number: (541}682-5291 <br /> FAX: (541)682-5032 <br /> Job Number: Capital Project Number: <br /> Owner requests the Public Improvements as described below: <br /> The unde+'signed T ~ O r <br /> f W <br /> /~~t 6 1`G-~ ` <br /> Type of improvement: (Paying yyasfewater, stormwater, street lights) <br /> Location: ~ - <br /> subdivisions) <br /> North or east limit swing <br /> manner (check one): <br /> be designed and construct to/, ~locr, ~ ~ cJ~ f~Y~ <br /> 1' ~ a City e` L'""5rY ~ ~ r`^~~}-~. ;ion, and assessment o <br /> ? i <br /> City a etc ~ ' ` ~ ~ ~ 1rL~ J V the assessable amounts <br /> I <br /> tr ! ~ ff r ~ ~ ca <br /> Y Ll ~n~ ~ t flnancing• a <br /> t _~%z~ r v <br /> U\,,,~ ss rior to <br /> Owner agl ~ coon pry P related " <br /> a} ng and other proje~- vz <br /> b} ` , / applicable. <br /> ~l .W-'7 S r the Owner. <br /> Ovnner a---- ,~rials testingn <br /> n <br /> ooC <br /> ~ s <br /> ti ~ ~ J~ ~ ~ f, ryment due p <br /> ) ~/f'(~~ bunt sufficient to cover all engineering and <br /> V` <br /> f ants. to: <br /> c) rges may include, but are not {invited <br /> en due under this agreement, the Property <br /> d' of the past due amount, whichever is <br /> is other remedies. <br /> at the rate of eighteen percent (18°~) <br /> <`~,g ~ analiy charges. <br /> OP EUGENE <br /> PROPER'T' S~gTURE <br /> /1//t ~ rfYL ~ <br /> ~.OwNER's NAME (p~~J <br /> OWNER'S NAME r ~ <br /> ?PROP <br /> SIGNATURE <br /> DATE <br /> G TURE~ d <br /> DATE 777 PEARL STREET <br /> DATE EUGENE, OREGON 97401 <br /> n~-~ ~ tR ADDRESS <br /> " ''ADDRESS <br /> L ©Q? CITY I STATE f Z1P <br /> CITY STATE K~ u ~ f I ss hours) FEBRUARY 200 <br /> d -l p~IONE NUMBER (bus~ne <br /> PHONE NUMBER (business hours) <br /> ORIGINAL /CITY YEU_Ow t OWNER PINK t INSPEC70 <br /> <br />