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<br /> r(~ - r. ~ Engineering <br /> . <br /> ROJECT UTHORIZATION FORM Public Works <br /> ~ <br /> I City of Eugene <br /> 244 E. Broadway <br /> I ' Eugene, OR 97401 <br /> ' ~ ~ SID~PB~ GL ~ C J JE~~~ (541) 682-5560 <br /> ;Service ID: <br /> h ~ / <br /> Project title: T r~ <br /> i (loc~tio nd work ption) _ <br /> 1 ~ ( ~ 5 <br /> Project manager / ontact /private engineer: ~ C_ - <br /> PROJECT SC PE: ~ <br /> Paving: ~ Bike lanes /paths: widrn) <br /> (widths) ~ ( <br /> Concrete walk : Setback /Curbside <br /> (length) ~ (width) <br /> ~ ! Sanitary sewe Storm sewer Landscaping <br /> ~ Signal Street lights ROW required <br /> i <br /> New building nstruction Planning, other Remodel <br /> i <br /> FUNDING SO RCES: <br /> City Assessments Private _ Other department <br /> Account code <br /> ~ ~ Fed /State / C unry /FAA fixed) <br /> !COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> ~i <br /> i <br /> APPROVED: <br /> Project Mana er Date <br /> Principal Engi eer Date <br /> $ Facilities Man ger Date <br /> Ciry Engineer ~ - Date ~ <br /> y ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~ ` I <br /> i <br /> Capital Proje t No. ~ ~ ~ ~ ~ ACK' • ~ 35 ~ C.1lLXXX ~ Y/ ~ <br /> ~ 1 \ i - ~p•• r ? <br /> n <br /> GL Title j <br /> I i Assign by ~ ~ 1 ~ Date ~ ~g J <br /> Accounting b Date <br /> s <br /> ATTACHMENT <br /> ? Budget Estima e ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget orksheet ,fl Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer' 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 /> i _ <br /> <br />