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REPORT NUMBER: PERIOD BEGINNING: PROJECT NUMBER: PROJECT NAME: PERIOD ENDING: LOCATION: DEVELOPER CONSULTING ENGINEER CONTRACTOR NAME: COMPANY: ADDRESS: CITY: PHONE: JOB STATUS: OVERALL PERCENT COMPLETE: CLEARING: ---- EXCAVATION: ---- DRAINAGE: ---- FILL: ---- SANITARY: ---- BASE Embankment ROCK: ---- CURB/GUTTER: ---- PAVING: ----- SIDEWALKS: ---- STREET LIGHTS: ---- TRAFFIC CONTROL: ---- CLEANUP: ---- REMARKS (WORK: DONE LAST PERIOD, TO BE DONE NEXT WEEK, OTHER): TENTATIVE CONSTRUCTION COMPLETION DATE: ANTICIPATED CITY ACCEPTANCE DATE: (ALLOW MINIMUM OF 3 WEEKS AFTER CONSTRUCTION COMPLETION DATE) PREPARED BY: DATE: FOR CITY USE ONLY EARLIEST PROJECTED PLAT FILING DATE: EARLIEST PROJECTED BUILDING PERMIT ISSUANCE DATE: CITY ENGINEER: CONSTRUCTION INSPECTION: CIVIL ENGINEER: TRAFFIC INSPECTOR: COPIES MAILED TO (AS INDICATED): BUILDING OFFICIAL MAINTENANCE MANAGER CONSULTING ENGINEER DEVELOPER CONTRACTOR WATER DEPARTMENT SUB ELECTRIC DEPARTMENT OF ENVIRONMENTAL QUALITY NORTHWEST NATURAL SUB WATER WILLAMALANE SCHOOL DISTRICT V: FORMS ENGFORMS WEEKLY CONSTRUCTION PERMIT.doc – February 2011.