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~ ~ ~ J 1 <br /> ~ ' Engineering <br /> iPR~JECTAUTHORIZATION FORM' Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> SID PB ~GL ~ JC ~ JE _ <br /> Service ID: <br /> Project title: ~ ~ 'Yl ~ C t <br /> (location d work description) /t ' y <br /> 7 ~ 1 <br /> Project manager /contact /private engineer: C' r <br /> PROJECT SCOPE: r <br /> Paving: ~ 7 L~~ ~ 1 e~ Bike lanes /paths: <br /> (Nndrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (ienern) (widrn) <br /> Sanitary sewer 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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COM E TS /SPECIAL PROJECT INFjQ. / INT EPARTMENTA WORK DESCR PTION: <br /> bra r'1 ~ C,(;' , (rt <br /> APPROVED: ---_`.~J~ <br /> Project Manager ,,llr ( Date <br /> Principal Engineer Date ~ " ~ 4 <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ""t~~S~ ! ACK'~ ~•~XX+,C X. ~ 5~~ <br /> GL Title ~ ~ t `y <br /> Assigne y Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ''tliir~ ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application 'Map <br /> ~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />