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r <br /> J <br /> ROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> I <br /> City of Eugene <br /> EugenearOR 97401 <br /> ' ~ (541)682-5291 <br /> ,Service ID: ~ SID ~PB '""~GL ~C ~JE <br /> (Project title: ~ ~ ~1~. r l? /.'S <br /> (location nd wo(k description) <br /> I ~ ~ <br /> roject manager / ontact /private engineer: ' G <br /> I <br /> ' PROJECT SC PE: ~ <br /> Paving: ~ ~ ~ f,^ / Bike lanes /paths: (widrnJ <br /> Concrete walks ! etb /Curbside <br /> ~n) (~'f tn~ / 1 <br /> Wastewater Stormwater 1,~ r% ~ Landscaping <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 / C ' my /FAA fixed) <br /> ` OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> ~ <br /> I <br /> i <br /> C <br /> 1 <br /> ! { <br /> i I <br /> I ' APPROVED:~~ ~ <br /> j j ProjectManag C-~E~cl,~ Pert-E1 Date !r/.?~~'S! <br /> Principal Engin er Date ~0 <br /> Facilities Mana er Date ~t-~ I <br /> City Engineer ~ Date '~7 ~c! ' V`~ . <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> I <br /> i i ~'~jt 1 J^ ~y ~7/~ <br /> Capital Project o. ~ l ~y ACK ~Q ~ t ~ tQ,~~-~' ~ - / `7~,J <br /> I <br /> GL Title r'k''e... <br /> ~ Assigned by ~ ~ .L= v1., <br /> i -c~~ <br /> Date I <br /> I' <br /> Accounting by Date i <br /> ~?TTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wor sheet D Engineering Agreement ? Engineering Service Work Request <br /> C] City Engineer's I tiating Order Q Public Improvement Permit Application ? Map <br /> C~" File Request For ~ ~ ~ <br /> <br /> c <br /> EtNG 415 HITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 I <br /> I <br /> <br />