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. J'~ ~ ~ <br /> ECT AUTHORIZATION FORM St~'I'''~ Engineering <br /> <br /> P R OJ Public Works <br /> rn~~ X, ~ City of Eugene <br /> 244 E. Broadway Y- <br /> Eugene, OR 97401 <br /> N (541) 682-5560 <br /> Service ID: ~O? S'7 SID X PB ~GL ~JC ~ JE <br /> Project title: ~~~~~~T ~ <br /> trocanort end work desarPnon) <br /> Project manager /contact /private engineer: ~f)1~~~ ' SOS ~ r!'"' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> / (1 (width) <br /> Concrete walks: Setback / Curb~sipdye~,..-- <br /> (width) T ~'7 <br /> Sanitary sewer 'i Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other.- Remodel <br /> FUND G SOUR ES:~y ~ ~ ~ n <br /> A§sessments 'Private G~~ Other department <br /> Clty <br /> ~G ~NVS Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> /lJ ~ <br /> c.a _ <br /> ry. <br /> X FlZ 50~ ~ 3310 (ej73~ 7sla~ 'r <br /> r7 <br /> f fi <br /> APPROVED: ~ ~ <br /> d <br /> Project Mana er Date ~ <br /> 1 9 <br /> Date <br /> Principal Engin er <br /> .~~„~n Date <br /> Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK ~ 3 35 ~ 5 ~ Z <br /> GL Title ~ Ll.7S <br /> w <br /> Assigned Date <br /> Accounting by Date <br /> A ACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement engineering Service Work Request <br /> ? City Engineers Initiating Order ? Public Improvement Permit Application Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />