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r ~ <br /> k.,i <br /> ROJECT UTHORIZATION FORM r..~ Engineering <br /> ' Public Works <br /> City of Eugene <br /> 858 Pearl <br /> Eugene, OR 97401 <br /> t~~r ~ ~ (541)682-5291 <br /> I Service ID: SID~PB~ GL JC JE <br /> ' Project title: ( J <br /> ' (locatio and rk description) <br /> ~ e r <br /> Project manager / ontact !private engineer:/~ ~'t,,, <br /> ' i PROJECT SC PE: ~ <br /> ! Pavin <br /> 9~ ~ Bike lanes /paths: <br /> Concrete walk : ~ (~idrn) <br /> I u n (I~Vr r~;dtn) Setbac Curbside <br /> Wastewater Stormwater Landscaping <br /> I <br /> Signal Street lights ROW required <br /> ' New building c nstruction Planning, other Remodel <br /> FUNDING SOU CES: ~ <br /> City Assessments Private ? Other department <br /> Account code ~ <br /> } Fed /State / Co my /FAA fixed) <br /> I ~"T ~ ~ OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I ~ <br /> f <br /> <br /> ~ i APPROVED: <br /> Project Manage Date ~ C <br /> Principal Engine r Date ~ S+ <br /> Facilities Manag r Date <br /> City Engineer - Date ~ ~ <br /> i <br /> FOR USE BY ADMINISTRATfON ONLY j <br /> Capital Project N ~ /"t. J t qCK C.U ~ ~ `1 ~ ~1 ,~11 xxX.X ~ ~ `i JJ <br /> GL Title ~ 'e <br /> y Assigne by Date ~ G. J <br /> Accounting y Date <br /> 4 <br /> A ACHMENTS: <br /> ? udget Estimate ?^~eveloper Agreement ? Engineer's Report On Improvement Petition <br /> ? ADC Budget Work eet ,L~ ngineering Agreement ? Engineering Service Work Request i <br /> ? d?ity Engineer's Initi ting Order L~ Public Improvement Permit Application ? Map <br /> file Request Form ~ ~ ~ry ~ <br /> ! <br /> I <br /> ENG 415 W ITE /Finance YELLOW / Admtnistratlon File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> I ~ <br /> _ _ _ - - - - 1- - <br /> <br />