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PROJECT NUMBER REQUEST ~ ~ Public Works <br /> City of Eugene <br /> 858 Pearl Street <br /> S) ,'L.., ~ ~L C~-" `S~'~' (5 3) 687C-52914U1 <br /> <br /> Job No. 'n~ ~ O <br /> Project title: ~ !-f~1E17h1A'f ~}~S ~ T~RIL qh 99 <br /> (acaNon end work descrlpcron) , ~ , ' ~ ~p X I ~ 0+~ r`'~'t <br /> Project manager !contact /private engineer: PJ E <br /> PROJECT SCOPE: C~ 4~8U l~rtiQ~O+~ ~vIY~1ey$ <br /> Paving: <br /> ri T~-~ ~vo~Y~tiln rw~, <br /> Concrete walks: <br /> r~~h, X~r. RJl1ti <br /> Sanitary sewer Storm se <br /> Signal Street lig Xn 3Z~ Q3 <br /> 35 1~1~3s q~}SZIZ <br /> New building construction ~ Planning <br /> ~ $ (~S k <br /> FUNDING SOURCES: ~0 32 ( ~ 33~ (011 q~ S Z <br /> City Assessments <br /> Fed /State /County /FAA _ (°J°, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPNn ~ min. r?~ •rvnn vcvvr..r <br /> OD c9 ~ © <br /> cfDO ~ dD ' <br /> ~ b ri th1 b s t-,-? .v <br /> r <br /> AP~~~jj~~D: ' <br /> Pr ' ~11~~ Hager Date ' d a <br /> Principal Engineer ' Date ~ ~ <br /> Facilities Manage Date <br /> Date 7 --2 S' -03 <br /> FOR USE BY ADMINISTRATION ONLY Q,1 ~ ~ <br /> Capital Project No. ~~521 ~ ACK ~aZ~ g3~ ~eXXX X l`'~ 5~~ 2 r' <br /> 0 <br /> GL Title QZ ~C' Y' ~ 0.i, M <br /> Assigned b Date ~ r- <br /> 0 <br /> Accounting by Date ~ <br /> 0 <br /> ATTACHMENTS: I~ <br /> I,~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> O Engineering Agreement ? Engineering Services Work Request ~ Map <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application 1 2 -19 - 7 3 A 0 9 ~ v" 4 F? C V D <br /> 2~st WHITE / Finance YELLOW / Administration File PINK /Engineering Flle GOLDENROD /Protect Manager ~d <br /> <br />