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~ ~ ~ <br /> --'i <br /> ~ PR®JECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ' ` Eugene, OR 97401 <br /> f-. ~ y v ~ / (541) 682-5560 <br /> Service ID: ~ SID~PB ~GL _ JC ~ J <br /> Project title: tr ~(.~/y")4~~~1 ~V~'. ~~rr IP 1'1'1 ~~.1'~e(¢.- <br /> 'rt <br /> ~r~'~'JCIr~ <br /> (Iota nand work pt' , <br /> r~ r' I n r r <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widrns) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SpURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT I O. / IN RDEPARTME TAL WORK DESCRIPTION: <br /> / C` ~ <br /> ~ <br /> APPROVED: <br /> Project Manager ~ ~ ~ Dated <br /> Principal Engineer / - Date ~-i <br /> Facilities Manager Date <br /> City Engineer - Date~,~f~"" <br /> FOR USE BY ADMINISTRATION ONLY q <br /> Capital Project No. ~ ~rJ ~ ACK q ~3~ l pXaC X 1 ~ S <br /> GL Title <br /> Assign by Date r~ ~ ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~Ir ~ SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's 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 />