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~ ~1 <br /> _ <br /> r` ~ ~ ~ Engineering <br /> <br /> j PRO..~~GT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / v ~1 (541) 682-5560 <br /> Service ID: ~Z ' <br /> ~ SID_ PB ~GL JC ~ JE <br /> Project title:~"~^'' ~ ~ ~ ~ ~ ~ <br /> (~loycation and "~rk description) / ~ ( ! <br /> {.,~5yrt'~`^C ,~Ct C `*Ce. Q"TT•!i-t~'~c! I.Ir t'Pa~~u~~ <br /> ~Pro_ <br /> 'eLct mana a /contact /private engineer: ~ u r <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widti <br /> Concrete walks: Setback /Curbside <br /> Qength) (widtn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: u (c'.(i' ~'t:ty4~t ~ 3i j~' /E'. l'/ v~Pl`. f' ~S ~ r'lF' G-'4Y <br /> City s SGC_ Assessments Private Other department <br /> Account code <br /> `T Fe /State /County /FAA ~ N fixed) <br /> COMMENTS /SPECIAL P++ROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> . _ ! t r <br /> ,-I ~ J. 1 c.~ cc't°y~ f ;.3 `t~1~. <br /> G d~_1l~ SI ~ w, r,4- i(f~(~;~ • 5-- <br /> r < ~ V"'1 V t N i „ °S T CT F\ S ~ N ~ 4L.~ c J ~-4. C~l~r~ 7 <br /> APPROVED: _ , <br /> Project Manager ~ ~ I- ~r ~ - Date ~ tiu / <br /> Principal Engineer ` K ~ -Date ~ ' i - 1~._ <br /> Facilities Manager ' Date <br /> City Engineer ~ ~ Date ~L!~/~-19~- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK . ~ XXXk~ _1 ~-t ~r.~~ <br /> GL Title (j.. r c~ ~~-1,' ~ <br /> ~ G' t" <br /> Assigne by Date <br /> Accounting by Date <br /> gTTACHMENTS: <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 />