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~ <br /> Engineering <br /> PROJECT AUTHORfZATfON FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / . ` r1 (541)682-5560 <br /> Service ID: SlD_ PB ? GL JC" JE _ <br /> Protect title: e e n GY' W 1"e r <br /> `aea ~ desorption) Q <br /> Project manager /contact /private engineer. l.(1 l~ <br /> PROJECT SCOPE: / <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback I Curbside <br /> cal r»~dnl <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> .P. ®ur~Dose r iS o r i z o>rl ~S si4n- <br /> T v t <br /> C_,) <br /> e ~ ~ coin S n <br /> APPROVED: T <br /> Project Manager Date <br /> Principal Engineer Date - ~ <br /> ~:~i <br /> Facilities Manager Date i <br /> City Engineer Date 7l7 ~ o <br /> FOR USE BY ADMINISTRATION ONLY <br /> CapitaiProjectNo.~55Si~ ACK Q~~ ~~xX <br /> GLTitle ~ ~ ~ ~ <br /> Assigned Date <br /> Accounting y Date <br /> ATTACHMENTS: <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 /> <br /> ~ile Request Form , <br /> ENG 415 WHITE /Finance YELLOW /Administration Fie PINK /Engineering Flle GOLDENROD /Project Manager JANUARY 2000 <br /> <br />