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5. <br /> #4~( ' ~ <br /> ~ Engineering <br /> PROJECT UTHORIZATION FORM ~ ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541) 682-5560 <br /> ? <br /> Service ID: SID ~ PB _ GL JC JE <br /> Project title: ~ <br /> (locatio and work description ~v <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (width/ <br /> Concrete wal Setback /Curbside <br /> t (length) ('dlh) I ~ <br /> Sanitary sewe ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> <br /> ~ Account code <br /> Fed /State / C unty /FAA fixed) <br /> o <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> j " APPROVED: <br /> <br /> ~ ~ Project Mana er Date ? D <br /> Principal Engi e r Date <br /> Facilities Mant3ger Date 1 <br /> 'i „ Date f ~ /a <br /> City Engineer, - <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Proje No. ~~1 "i `"I `I ACK ~ ~ ~ "i ~X~ 3 ~`~~J <br /> G ~ ~ )t,~, - ~ <br /> GL Title <br /> Assigned Date <br /> Accounting b Date <br /> ATTACHMENTS; <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Wprksheet B Engineering Agreement ? Engineering Service Work Request <br /> i~ ? Ciry Engineer's Initiating Order Public Improvement Permit Application ? Map <br /> ? File Request F rm ~ ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> i <br /> <br />