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PROJECT NUMBER REQUEST ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Peari Street <br /> ? ~ ~ 1. ~ J ~ S ~ _ Eugene, OR 9740,1 <br /> ~ ~ O ~j 1 ~ ~ G (503) 687-5291 <br /> Job No. <br /> Project title: i~'1 AZfl N ltd D 1JA'f E}2S ~ TFZ~ t L. <br /> (/ocatJon end work descRptlonJ <br /> '1`i--X_ l ?~v~lt e 1 t~ ttn~ cewD - - . ~ ~ ~ ~ ~x o~? I~. <br /> Project manager /contact /private engineer: P`~ E <br /> PROJECT SCOPE: C'1~ 1.l 4~~ ~YUIQ~t)r1 r~a0le,?~e~v5 <br /> Paving: " <br /> (wrdrns) TrGe~t,, ,~voPYta~tUn ('.ar'', <br /> Concrete walks: <br /> Sanitary sewer Storm se <br /> Signal Street lig K~ 3Zj Q3 <br /> New building construction Planning ~ ~o173S q?}S21Z <br /> FUNDING SOURCES: ~f'~° <br /> City Assessments 3Z ~ ~ 33~ ko 11ei R 405172 <br /> Fed /State /County /FAA _ fixed) <br /> <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPr?n, min rr......~.,.. ~~o.,,.,.~ <br /> 04~ ~ O <br /> ~'AO ~ ap ~ J <br /> 'fir L ~..+-~(e Glear~ ~ 30 e <br /> Tt ~ Yi , Iht f7 s ?-ri .ve~'~ <br /> APP, D: <br /> Pr j Hager Date ' ' .0 3 <br /> Principal Engineer ' Date ~ ~ <br /> Facilities Manage Date <br /> Date 7 -z S~ -03 <br /> U <br /> FOR USE BY ADMINISTRATION ONLY I' ~ ~ <br /> Capital Project No. 52 ~ ~ ACK ~o~~ g3~ ~XXX 5~ 9y 521 Z c- <br /> 0 <br /> GL Title a ~ r a~ \ M <br /> Assigned b ~ Date ~ ~ a <br /> 0 <br /> Accounting by Date ~ <br /> w <br /> 0 <br /> ATTACHMENTS: <br /> ~Q Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? Engineering Agreement ? Engineering Services Work Request ~ Map <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application 1 2 -1 9-~ 3 A 0 9~ 0 4 R C V D <br /> list WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Protect Manager ~g~~ rfd ~~~,y~) <br /> <br />