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<br /> I i -M;t <br /> ..yy ~ I <br /> * Engineering <br /> • ~ ~ROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> f t ' r'r ~ ~ _ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> J - (541) 682-5560 <br /> Service ID: SID_ PB_ GL JC ~ JE <br /> - i j _ t <br /> ~ r j r ' r x.,, <br /> Project title: <br /> (location nd work descri lion) ` 1 <br /> ` J' <br /> Project manager / ontact /private engineer: i f'I ; <br /> PROJECT SC PE: 4 <br /> Pavin Bike lanes /paths: <br /> g~ (widths) (width) <br /> Concrete walk : Setback /Curbside <br /> pengrn) (width) ~r <br /> Sanitary sewe ~ Storm sewer / ~ Landscaping <br /> Signal Street lights ROW required <br /> New building nstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> 'COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: , <br /> Project Mana er J~`''~' ~ ~ k ~ ~ ~ Date ~ • ~ G' 1 <br /> Principal Eng Weer ' ~ ~ Date ~ U <br /> Facilities Ma ager f/ Date <br /> City Enginee Date ~ ~ ~ ~U z- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Proje t No. 7 ~ J L` ACK ~ % a ~ ~ a G k ~,k 4' ` ~ ~ <br /> GL Title I 1f t~.~l - C? <br /> +~r" ~.~~~ZG3~ ' ~ Date % " ' <br /> Assigned by <br /> Accounting y Date <br /> ATTACHMENT <br /> ? Budget Estim to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget orksheet engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer s Initiating Order ublic Improvement Permit Application ? Map <br /> QCj=ile Request orm <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />