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r 4;.... :'.,n)x. .w ;~...--,-~c .e T_ ..~-_M{..=r_~..~_„, e . ,e ~ «S1TN -.n - <br /> j~-~'-i Engineering <br /> ~~F~Od~'~T AUTHORIZATION FORM r ' ' Public Works <br /> A ' I City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ' ` I' j ~ r ~ ,~y~ (541) 682-5560 <br /> i Service ID: ~ SID '~P~ GL JC _ JE ! <br /> ,r,~' <br /> Project title: ~ / ~+r <br /> (loceti nand work c ' tion) <br /> 1, Project manager contact /private engineer: ~C-- ~ , <br /> PROJECTS OPE: <br /> Paving: Bike lanes /paths: <br /> I (widths) (width) <br /> Concrete wal s: Setback /Curbside <br /> j (iengrn) (w;drn) <br /> Sanitary sew r ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> ~I New building onstruction Planning, other Remodel <br /> 'i FUNDING SO RCES: <br /> City Assessments Private Other department <br /> Account code <br /> <br /> ' Fed /State / C unty /FAA fixed) <br /> yCOMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> i <br /> APPROVED: ' <br /> ~ Project Manag r ~ Date ~ ~ <br /> Principal Engi eer Date 1~1 <br /> ~Q <br /> ~ <br /> tt-~ <br /> Facilities Man ger Date <br /> City Engineer - - Date ~ ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project o. ~ ~ ACK ~-0~ ~ G ~ XXx k <br /> III t ~Ct [ <br /> GL Title ~ U <br /> Assigne by. ~ Date <br /> Accounting by Date <br /> TTACHMENTS: <br /> - ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Wo sheet ~ Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's I itiating Order ? Public Improvement Permit Application ? Map <br /> File Request For <br /> EI11G 41S RITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />