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Public Works <br /> . Application.for Pub/tic IGmjprov®merrt Permit ~~~r~+s <br /> <br /> f... `T/ / / 858 Peed Street <br /> Job Number. h Fygene, OR S7g01 <br /> (541)66.25291 <br /> FAX: (541)68261132 <br /> Contract N/o: <br /> f, 52~ ~l u~/ ~Q S ~'~i`- hereby make app~ation for a PUfILIC INPROVEYENT PERMtT toy <br /> -per <br /> corrstrrxx Pubf~ ~ in the.pub8c way, as descr0red below: <br /> Type of ImprovemerR Traffic Signal s <br /> . ~ ~ ~ WaNnB..rastexra/er,a4eerBgrras) <br /> Coburg Road and Frontier Drive <br /> - .(steetawatc lswr0ihawb6Nriar~urne) . <br /> Nodh(oreasT)Gmit 160' N of Frontier. Soutlr(orwest)6rrdt Rustic Plac2 <br /> m strict cordorrtranoe wRh City of Eugene starrderd apadfx~tiorre for pr~6c improvements (indudrng arnent addenday, <br /> ~nslnrr4iOn plarw approved byttre dtyengfneerorhis represerdative.ihecumemedition of'ProcarbrresforPrivetely Engineered <br /> Projects,' the Eugene City Cade, and the standard errd spedal ranrfdiorre printed on this permi<fomr. The orimeAappikram & <br /> reaporrsible for pmvi~rrg a~copy of this permit to the oordractof performing the work <br /> Corrtect Parser fv+d 'S~- U i j`~,rs <br /> ~nsadd~ k3s'L= .fir/ <br /> Prird sigrreturo re J' <br /> Date Phone y~ - S1/~ / 'cnyismaeizrp 7~ O~ ~7 <br /> oorar.wreeoawnMer~ <br /> PUBUCiMPROYEMENTPERAAIT - <br /> PenNsslon ~ Y greMed ~ ePp~nt end eppBcetrYs corrbador to perform the work stated above, in oonfonnence wMh <br /> corrdblorrs fisted above, bebvr, and on the reverse aide of tNs permit form. <br /> The permit shell be void unless the work deacr~ed frereln is ocrrrpleAed bjr: <br /> SPEGAL CONDr170NS <br /> APPROVED: Date.:-///! a~ . <br /> City Errgirreer <br /> <br />