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, ~ 1 <br /> _ ~ <br /> <br /> ' THORIZATION FORM ~CCef Engineering <br /> r RCJECT U Public Works <br /> <br /> 1 <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> ~ (541) 682-5291 <br /> Service ID: SID ~ PB'`~ GL~ JC JE'~~ <br /> roject title: ~ ~ r!~ ~ . - <br /> (lo ' n work description) <br /> roject manager / ontact /private engineer: ~ j P / E' ~T t%t ~ L <br /> PROJECT SC PE: , <br /> ~ r• <br /> ' Paving: Bike lanes /paths: <br /> i (widths) _ (width) <br /> Concrete walks etba~ Curbside c" <br /> ~ (length) ~dth) C^ I t <br /> Wastewater Stormwater ~ ~1 Landscaping <br /> Signal Street lights ROW required <br /> New building c nstruction Planning, other ~ ~ ~ D 7 Remodel <br /> FUNDING SO RCES: ~ / <br /> City Assessments Private V Other department <br /> Account code <br /> ~ Fed /State / C' `nty /FAA fixed) <br /> OMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> - <br /> t <br /> h <br /> APPROVED: ` _ <br /> I ~ 3) <br /> Project Manag r ~ ~ Date <br /> Principal Engi eer ~ Date ~ ~ <br /> Facilities Man ger Date <br /> City Engineer Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ' r ~ 5 t <br /> ' Capital Projec No. ~ ~ 33 ~ ACK lob ! 4'--~r3~' (o x x X X ~f.~ 3 S~ <br /> ~ c°~'1 r~YP.r C ~'S.S <br /> GL Title <br /> ~ Date ~ <br /> Assigned by <br /> Accounting by Date <br /> i <br /> { ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget W rksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's vitiating Order .®-Public Improvement Permit Application ? Map <br /> -File Request F rm <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> <br />