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„~~....~.-f--~ <br /> PROJECT ~#'UTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> l~' ~ ~ ~ J (541) 682-5291 <br /> ~ ' Service ID: ~ , j SID PB - GL JC JE <br /> Project title: ~ <br /> n ~ ( ~ ` ~ - ~/Y^ <br /> Qocatio work descnphon) ~ ^ , , _ t / <br /> I !1/~Av/1` ~1C" I` T z <br /> ! Project manager / contact /private engineer: ~O V~ ' <br /> PROJECT SCC¢PE: ~ / <br /> Paving: 2~.__--~ Bike lanes /paths: <br /> (widths) (widen) <br /> Concrete walks: Setback /Curbside <br /> Qarr tn) t (yid h) ,r <br /> ~ ' Wastewater ~ ~ ~ Stormwater Z Landscaping <br /> Signal Street lights ROW required <br /> Mew building c nstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Priv~#e Other department <br /> r <br /> Account code <br /> ~ Fed /State / C un /FAA <br /> ~ I~ tY (/o, fixed) <br /> ~I !COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> I <br /> I <br /> APPROVED: <br /> Project Mana er Date ~ <br /> Principal Engi ee - Date <br /> Facilities Mang Date <br /> Ci En ineer'I t K- Date +C _1~_~G <br /> ty 9 <br /> ~ i <br /> i <br /> j~ i FOR USE BY ADMINISTRATION ONLY <br /> Capital Proje No. I ~a f ACK _ ~~I t J~~ ~~x~~ J ~ -r Z~ 1 <br /> GL Title IY"-e S L C.-r~;s~ ~ ~ ~l ~~1Cii <br /> Assigned C Date <br /> I <br /> Accounting b~ Date <br /> I <br /> ,I <br /> ATTACHMENTSi: <br /> I,I ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~ ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order blic Improvement PerrrLit Application ? Map <br /> File Request Fbrm <br /> <br /> ~ ~ <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration Fiie PI,N,rK <br /> /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> t .n 1 ~ ~ <br /> <br />