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. <br /> f _ <br /> - <br /> r ,~'RO.IECTgUTHpRIZ <br /> ~ ' ATIpN FORM <br /> a~~. <br /> Engineering <br /> Public Works <br /> . Service ID: <br /> City of Eugene <br /> Project title: 858 Pearl <br /> j SID ~ PB Eugene, OR 97407 <br /> potation an work descd ~ Ca'L JC <br /> ptionJ ~ JE (541) 682-5291 <br /> Project manager /contact / <br /> private engineer: <br /> PROJECT SCOPE; ~ <br /> Paving: <br /> C <br /> Concrete walks: <br /> (widths) <br /> Wastewater (/Bn9rh) Bike lanes / <br /> paths: <br /> Signal Stormw (widrh~ Setback /Curbside (width/ <br /> ater <br /> New buildin Landscaping <br /> g construction Street lights <br /> FUNDIN Planning, other ROW required <br /> ~ G SOURCES: <br /> City Remodel <br /> Assessments - <br /> Fed / Pr?vate ~ <br /> State /County / F <br /> AA Other depadment <br /> COMMENTS /SPECIAL PROJECT 1 Account code <br /> NFO, / INTERDEpgR7MENTAL WpRK D <br /> ESCRIPTION; fixed) <br /> i <br /> i <br /> i <br /> } <br /> ~ <br /> APPROVED: ~ ~ <br /> Project Manager ~ <br /> Principal Engineer <br /> Facilities Manager i <br /> Date [ <br /> City Engineer Date ~ ' <br /> t <br /> t <br /> Date <br /> Date <br /> FOR i . <br /> Capital Project No. "moo C ' USE BY ADMINISTRATION <br /> f'~(s+ ONLY <br /> GL Title ACK G~~ ~ ~ <br /> Assi ned ~ ~ ®ee~~ ~ <br /> 9 <br /> Accounting by ~ <br /> Date ?c=~i%'~~~ j . <br /> ATTACHMENTS: <br /> Date _ <br /> ? Budget Estimate <br /> ? SDC Budget Worksheet ? Develo 1 - <br /> ? Ci Per Agreement <br /> ty Engineer's Initiatin n9?neerin g <br /> <br /> ~ile Request Form g Order m o e reement ? Engineer's Re ort i <br /> ublic I p meet Permit q ? En9?neerin p On Improvement P <br /> pplication ? Ma 9 Service Work etition i <br /> <br /> ENG 415 p Request <br /> WHITE /Finance <br /> YELLOW/gdministration File g <br /> 3 <br /> PINK / En i g File <br /> _ ~ 9~neerin GOLDS <br /> <br />