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1bROJECT A THORIZATION FORM ~ ? \ Engineering <br /> Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> f ,J~ (541) 682-5560 <br /> Service lD: SIDY_ PB ~ GL~ JC"_ J~ , <br /> Project title: <br /> (location a tl work description) <br /> Project manager / c ntact /private engineer: ~0 f' / ?'l c~Y I' 1 <br /> PROJECT SC E: <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setbac /Curbside <br /> t+ (length) width) H <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building c struction Planning, other Remodel <br /> FUNDING SOU CES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / Co my /FAA fixed) <br /> COMMENTS / SP IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ ~ , <br /> Project Manag r C Date <br /> Principal Engi er Date <br /> Facilities Man ger Date <br /> Ciry Engineer Date f `J (J~er <br /> FOR USE BY ADMINISTRAQTION ONLY <br /> Capital Projec No. ACK ~ ~ ~ <br /> GL Title ~ T ~.T"~- <br /> er• / ~ Q <br /> Assigne by ~ ~ Date '~7 <br /> Account Date <br /> ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget W rksheet ineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ~i~ublic Improvement Permit Application ? Map <br /> ? File Request F rm ~ i J <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINKy/ <br /> Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> i <br /> <br />