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~ <br /> Engineering ~ <br /> p ~ROJ~~T („~THORIZATION FORM Public Works <br /> I <br /> City of Eugene <br /> ( 858 Pearl <br /> Eugene, OR 97401 ~ <br /> / ~ (541) 682-5291 <br /> <br /> t,, SID rL P V GL JC ~JE <br /> ervice~~ID: ` <br /> ~ roject~fitle: ~ Y`E <br /> (locetio d work de6cdption) <br /> ' i I <br /> ~ <br /> ISroject manager / c ntact / p ate engineer: . <br /> PROJECT SC PE: <br /> Paving: Bike lanes /paths: <br /> „ / (widths) (width) <br /> 'i Concrete walks: / / etbac /Curbside <br /> Wastewater Stormwater 2 Landscaping ~ <br /> Signal Street lights ROW required <br /> New building co struction Planning, other Remodel <br /> 1 <br /> FUNDING SOU CES: <br /> City Assessments Private Other department <br /> i Account code <br /> Fed /State / Co my /FAA fixed) I <br /> I <br /> j ~OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ! ' <br /> 1 <br /> j I APPROVED: ~ <br /> Project Manag r Date ~T~=~ <br /> Principal Engin er Date ~ ~ ~ ~ ~ ~ <br /> Facilities Mana er Date <br /> ' ~ City Engineer ~ Date ° ~ ' ~ ` <br /> C <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project o. ~1_! (~.x~' 7 ACK 'f 3s~ ~TX.~~ ~ ?J C4' L/ <br /> GL Title ~'"J S~'~ v <br /> i <br /> Assigned b Date ~ 6 ~ <br /> Accounting by Date j <br /> I <br /> ATTACHMENTS: <br /> E Budget Estimate eveloper Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wo ksheet L?J Engineering Agreement ? Engineering Service Work Request <br /> ~~7,~Ity Engineer's I itiating Order ? Public Improvement Permit Application ? Map <br /> lUd File Request Fo <br /> ~ <br /> ~ l~NG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> 1 <br /> j <br /> 4 ~ ~ _ _ <br /> <br />