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` I <br /> _ - <br /> ~ C..~. ~E r..-----~---- Engineering <br /> ~,r ~ R~iOJECT UTHORIZATION FORM Public Works <br /> City of Eugene <br /> / / 244 E. Broadway <br /> i / ? ~ Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_ PB _ GL JC _ JE <br /> Project title: L~Gi`' ~ ,-rFn ~ l ' + <br /> (1 ion nd work d ption) <br /> ,I ! <br /> Project manager / ontact /private engineer: ~ ~ Cf <br /> ~L <br /> PROJECT SC PE: <br /> Pavin Bike lanes /paths: <br /> g' • ~ lwidrnsl ~ (widrn~ <br /> Concrete ~ ~ Setback /Curbside <br /> (iengtn) (widtn/ <br /> Sanitary sewe Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building nstruction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> IICOMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> APPROVED: ' <br /> <br /> a <br /> Project Mana er Date <br /> Principal Engi eer Date <br /> Facilities Man ger Date <br /> ~ _ Date /z C1r, . <br /> City Engineer <br /> i <br /> LY <br /> FOR USE BY ADMINISTRATION ON <br /> ACK q <br /> Capital Projec No. ~ ~ ~ ~ ~ ~ <br /> GL Title <br /> Date z <br /> Assigned by ~ J <br /> Accounting b Date <br /> ATTACHMENTS <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget W rksheet C~Engineering Agreement ? Engineering Service Work Request <br /> ,.?,.~Ity Engineer's Initiating 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 JANUARY 2000 <br /> ~ <br /> <br />