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<br /> w~ ~ 1 <br /> PROJECT AUTHORIZATI / Engineering <br /> ON FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> N Eugene, OR 97401 <br /> Service ID: (541) 682-5560 <br /> w. y SID_ PB GL _ JC _ JE~ <br /> Project title: 1 ~ ~ • ,n r i'~ <br /> (locatial'~ ~ ^work description' ! ] <br /> Project manager /contact /private engineer: f ~ <br /> PROJECT SCOP~: 1 ~ e <br /> Paving: r G Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> penprnJ (w;drn~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM NTS /SPECIAL PROJECT INF / INT DEPARTMENT L WORK DES RIPTION: <br /> APPROVED: ~ j <br /> Project Manager Dated ~L <br /> Principal Engineer t-•-- Date <br /> Facilities Manage Date <br /> City Engineer '4'% - % L---~ Date <br /> ~~~~L/'~ R ~ BY ADMINISTRATION ONLY <br /> Capital Project No. ~t ACK ~ ~ ~ 43'~~ ~X~cx ~c C.~ c~ ~ ~~`7 <br /> GL Title ~ ~ C...~ <br /> Assigned ~ ~ Date <br /> - <br /> Accounting •6!y Date <br /> ~ACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? 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 />