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Foos <br /> <br /> 04/ 0/99 FRI 13:19 FAX 541 682 4882 CITY EUG PWMAINT <br /> PROJECT NUMBER REQUEST EnpMeertnp <br /> Public Works <br /> CAy of Eugene <br /> 858 Pearl Street <br /> ~ Eugene, OR 9740,1 <br /> (503) 687-5291 <br /> Job No. <br /> Project title: <br /> (borxon.nd worry °rwa(ptlon) <br /> Project manager /contact /private engineer: bN'bl~ 1~t 1s~i(Z /a S?~ - G~9doy <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> Reno+hl (wrdih) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal. Street lights ROW required <br /> New building construction Planning, other _ 4#'~-t~~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Fed /State /County /FAA { fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> V <br /> ~ ~ d <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ".S a 5 ~ HACK a'a/' ~ ~3S- X x~-x - y9.Sa5~ <br /> GL Title -L .,G~-a~-c% /"Q.,ti--,~ _ <br /> Assigned by ~~-~--~='~J Date- "7`I~D~y'9 <br /> Accounting by Date <br /> ~4TTACNMENTS: <br /> ~7 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 <br /> pi9t WHITE /Finance YELLOW /Administration Flle PINK /Engineering File GOLDENROD /Project Manager <br /> <br />