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Pubic Works <br /> Maintenance & <br /> PROJECT AUTHC~RIZATI~N FARM Parks and ~ en S ace <br /> p f~ <br /> City of Eugene <br /> 1820 Roosevelt Boulevard <br /> Eugene, Oregon 97402 <br /> X541} bs2-4soo <br /> No GJN Issued ~ X54 ] } b82-4882 FAX <br /> Service ID: SID NIA PB GL JC NSA ~ JE BJE 65531 www.eugene-or.govlparlcs <br /> Project Title: ~ x ~ ~ i~ ~ <br /> 1 <br /> (location and work descriptran} <br /> Project ManagerlContactlPrivate Engineer: ~ a~ ~ ~ ~ ~ <br /> PR~}JECT SCQPE; <br /> Paving: Bike laneslpaths: <br /> wets wit <br /> Concrete walks: SetbacklCurbside <br /> engi wr t <br /> Wastewater Starmwater Landscaping <br /> Signal Street lights R4W required <br /> New building construction Planning, Qther Remodel <br /> ~y ~ <br /> FUNDING SOURCES: <br /> ~ Should be pro'ect number 975032 <br /> city ~ ~ ~ Assessments Private 4th De artment <br /> I? <br /> Account Code E ~ ~ ~ ~ ~ <br /> Fed I State 1 Count 1 FAA fixed} <br /> COMMENTS 1 SPECIAL P EJECT INF .1 INTERDEPARTMENTAL WQRK DE5CRIPT N: <br /> ~ ~ ; <br /> 4 <br /> s <br /> APPROVED: <br /> Project Manager: - Date: <br /> Section Manager: r Date: A <br /> Financial Analyst: Date: u~ ~ <br /> Division Manager: Date; <br /> i~,. FDR USE BY ADMI'NISTRATI~N ONLY <br /> Capital Project No. 995542 ACK ~ l 1- - ~~x-995542, <br /> GL Title <br /> Assigned by: _ _ Date: <br /> Accounting by: Date: . <br /> <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report on improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating order ? Public Improvement Permit Application ? Map <br /> ? Request for Scoping Meeting <br /> <br /> PWMIPOS 1Qp WHITEIFinance YEI.L~WIPIN Administi'a#ian File PINKIDivision File G~LDENRODIProject Manager Jaly 2aQ6 <br /> <br />