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t <br /> x, ~q.~..~ v' <br /> _ f <br /> ~ROJ~CT UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 858 Pearl <br /> ~ Eugene, OR 97401 <br /> ~ (541)682-5291 <br /> Service ID: SID ~~PB ~GL JC ~ JE <br /> I _ <br /> project title: ~ ~ tc'`~'Y~ ~ <br /> j (location a d work dpdon) Q,,y^ <br /> I ! <br /> " Project manager / c ntact /private engineer: <br /> I PROJECT SC E: ~ <br /> ~ Paving: Bike lanes /paths: <br /> j (widths) (width) ~ <br /> Concrete walks: Setback /Curbside ~ <br /> <br /> 4 ~th) (width) <br /> Wastewater Stormwater Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building co struction Planning, o~ Remodel <br /> i <br /> f FUNDING SOU CES: i <br /> City Assessmdiits Private Other d~artment <br /> ~~c~un~c~e <br /> Fed /State / Co my /FAA fixed) <br /> ~ OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> I <br /> i <br /> t ~ I <br /> APPROVED: i <br /> Project Manag ~ Date j <br /> ` Principal Engin er Date <br /> Facilities Mana er Date j <br /> City Engineer Date <br /> i <br /> r <br /> i I <br /> i FOR USE BY ADMINISTRATION ONLY <br /> Capital Pr ' o. ~ 1 ~ ACK ~ 3 ~ ~ ~ <br /> GL Tit ~ 1 4' ~r~'~"~` W <br /> ~ Assigned by3 Date ~ ~ <br /> Accounting by Date <br /> w <br /> j <br /> ' ' ATTACHMENTS: ~ <br /> f ' ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Wo ksheet :Engineering Agreement ? Engineering Service Work Request ~ <br /> City Engineer's I itiating Order Public Improvement Permit Application ? Map <br /> File Request For ~ ~Q~ ~ <br /> UU <br /> ~ 8NG 415 HITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY2002 <br /> - <br /> <br />