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.r k <br /> <br /> i r.:. <br /> ~ Engineering <br /> • ~PR~,JECT UTHORIZATION FORM Public Works <br /> i <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_e/PB _ GL _ JC _ JE - <br /> Project title: ~ <br /> (locatiyo d wodc des 'lion) <br /> 'Project manager / ontact /private engineer: ~-,q"1~ <br /> f?,~,t- ~ <br /> PROJECT SC PE: <br /> Paving: Bike lanes /paths: (width) <br /> (widths) <br /> Concrete wal Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ~ ROW required <br /> New building c nstruction Planning, other Remodel <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 /> 1 ~ <br /> M , <br /> i <br /> d <br /> ~ ~ . <br /> i APPROVED: d <br /> Project Manag r Date <br /> Principal Engi eer~ Date <br /> ~ Facilities Man ger Date / <br /> e'' ~ ~ _ _ Date l i /~/U<- <br /> City Engineer <br /> i <br /> FOR ~Ur~SE BY ADMINISTRATION ONLY <br /> Capital Projec No. ~ ~ ~ 1 ACK ~3+ ~~J) '(„Q}C.X'SC.C" ~ ~ ~ 3~~ <br /> 'r t <br /> GL Title ~ ~ t"~,:~,~1.~jti ~ r~ Ci.~~~ .._>T" V F_k,.~ <br /> Assigned by ~ ~ Date ~ ~ - ~ <br /> i <br /> Accounting by Date <br /> i <br /> ATTACHMENTS: <br /> ? Budget Estimat ? D veloper Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet Ineering Agreement ? Engineering Service Work Request <br /> ? Cjty 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 />