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I ` ~ <br /> ~ . +7 ' ~ <br /> P~iOJECT ~b?UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 'i ~ 858 Pearl <br /> ~ I ~I Eugene, OR 97401 <br /> ' i (541)682-5291 <br /> Service ID: ~ ~ ~ ~ SID ~PB ~ GL ~JC J <br /> Project title: /v L-E c~ c~ c.»"~ ~Z'~.~~`.~~ ~ V t 51 Ci <br /> (locatlopiandworkdescdption) \ 1 t - <br /> Qi V t ~ w 0\S ~ W~ ``s-1G~ rY~ 1/4 Ot ~+w~-^'- ~ f' 1 ~ <br /> { <br /> T~ <br /> Project manager /!contact /private engineer: l~L v .~1" °c-~~ " <br /> ' f <br /> PROJECT SCDPE: J <br /> Paving: ~ ~ ~ Bike lanes /paths: <br /> Concrete walk: r'Setback /curbside <br /> (length) (width) _ <br /> Wastewater ~ Stormwater ~ L `Landscaping <br /> <br /> i <br /> <br /> j Signal Street lights c_! ROW required <br /> New building construction Planning, other Ty ~1 ~ ~ ~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> Account code <br /> fed /State 7 Cpunty /FAA fixed) <br /> h 1'~'r. ~ <br /> ~ ; s COMM1fENTS,/(nSP~CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~t <br /> 1 l,~1 J"T ~ I v ~4L I ~ G1_T" > _ J _ i . ~ r ,-~C:~! _ S. /'t'~,! Y Yy, t <br /> 4 APPROVE©• <br /> Project Manager Date <br /> Principal Engineer Date <br /> ~ Facilities Manger Date <br /> ~ V <br /> City Engineer ' Date ~ ~ ~ <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Projec~ No. ~ l ~ ~+G-~ ACK ~ ~ ~ ~,~d?y` ~ ~Y / <br /> GL Title 1"1~-c.!~c,.~x-"'~_~ ~l~C_X~"~. G-~1,iClc'~' ~j \'~IU~'1 <br /> Assign by Date <br /> t <br /> Accoun y'I, Date <br /> ATTACHMENTS:' <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ,~'t=ngineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's'Initiating Order ,public Improvement Permit Application ? Map <br /> i 'file Request Farm Q ~'`J/ <br /> -t~ fll <br /> ~ NG 415 WHITE /Finance YELLOW /Administration Fle PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> i <br /> <br />