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_ . <br /> ~ ~ ~ <br /> - ~ <br /> s Engineering <br /> .~~I`P~ROJECT UTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> • ~ ~ <br /> ~ ~ / ~ (541) 682-5560 <br /> ? <br /> Service ID• SID PB _ GL _ J JE _ <br /> ~ j'' .C of <br /> Project title: ~ - <br /> lion nCwork~ripti n) / / ~ <br /> i <br /> ;Project manager / contact /private engineer: 3 ~ ~ <br /> i <br /> ~ PROJECT SC~PE: 4 L / <br /> Pavin Bike lanes /paths: <br /> 9' (widen) <br /> ' ' Concrete walk : ~ Setback /Curbside <br /> c~ 11 (length) (~th) <br /> Sanitary sewe U Storm sewer I ~ Landscaping <br /> ~ Signal Street lights ROW required <br /> New building c nstruction Planning, other Remodel <br /> I <br /> FUNDING SO RCES: ' <br /> City Assessments Private ? Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> ~ <br /> Project Mana er ~ Date - <br /> Principal Engi eer ° ~C ' ~ Date 1 ° ~ <br /> Facilities Mang Date <br /> ~ City Engineer ~ t Date ~ j ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Projec N~~ ~ ACK !ll 3 ~ ~ S ~ C~ X-XJC~C ~ ~ ~ ~ ~ U <br /> GL Title htrr ~-0~1\ emu- ~IV1 ~v~ <br /> Assigned Date ~ <br /> Accounting b Date <br /> i <br /> ATTACHMENTS <br /> ? Budget Estima ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> i ? SDC Budget rksheet ~ Engineering Agreement ? Engineering Service Work Request <br /> Cfty 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 />