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`'~~f''" ~ ~ ~ ~ ~ l~ ~ ~ Engineering <br /> PROJECT UTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> Service ID: SID ~PB ~ GL JC ~ JE <br /> Project title: R- ~ ~ <br /> Qocatio and tKork description) <br /> ~ <br /> Project manager contact /private engineer:~{~.~~~.~i( ~ <br /> <br /> ~ PROJECTS OPE: <br /> Paving: ~ Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete wal .,,J~ ~ ~etba /Curbside <br /> ' /I Oength) (width) <br /> Sanitary sewe ~ Storm sewer ~~tiJ~~~----~-' Landscaping <br /> Signal Street lights ?r ROW required <br /> New building onstruction Planning, other Remodel <br /> i <br /> FUNDING SO RCES: / <br /> City Assessments Private fir'" Other department <br /> i Account code <br /> Fed /State / unty /FAA fixed) <br /> !COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> C <br /> i <br /> i <br /> i <br /> APPROVED: <br /> ~ " ~ (rl <br /> Project Mana er Date <br /> j Principal Engi eer Date <br /> Facilities Man g~~ Date <br /> - <br /> Ciry Engineer ~ ~ Date <br /> r <br /> FOR USE BY ADMINISTRATION /ONLY <br /> ' CapitalProje No. ~r~y~y~ ACK q~'~_ ~LXXXK ~'~~~L)~~ ! <br /> GL Title ~ ~ Y ~ ~ ~ L~. 1 1 <br /> Assigned y \ c , ' Date ~U <br /> Accounting b Date <br /> ~ I <br /> ~i ATTACHMENTS <br /> i <br /> ? Budget Estima ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Budget rksheet 'Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order PUbIIC Improvement Permit Application ? Map <br /> ? File Request F rm <br /> i <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK//Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~I ~ <br /> i <br /> <br />