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~ ~ i' r ~ <br /> PROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> 'y yj,~ Eugene, OR 97401 <br /> ~ ~ n (541) 682-5560 <br /> Service ID: SID! P~ GL _ JC _ JE _ <br /> n r A N <br /> Project title: ' ~ _ ,r ~ - <br /> Q io and work description) ~ , <br /> Project manager /con act /private engineer:. <br /> PROJECT SC PE: ~'f ~ <br /> Paving: v Bike lanes /paths: <br /> (widths) ! /r,o, (width) <br /> j Concrete walk ~ ~ iSetb /Curbside <br /> 1 Oen~rn) w~drn) ~1 <br /> Sanitary sewe ~ ~ Storm sewer ~ /f Landscaping <br /> i I <br /> Signal Street lights ~~t%L~- ROW required <br /> j New building c nstruction Planning, other Remodel <br /> ~ ~ <br /> FUNDING SO RCES: <br /> City Assessments Private t? Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> I <br /> 'COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> i <br /> I f APPROVED: t i _ <br /> Project Manag r - ~ Date ~ ~ U <br /> Principal Engi eer Date <br /> Facilities Man ger Date <br /> City Engineer , ' Date -12 -y~c. ~ <br /> ' j i <br /> ~ ' `FOR USE BY ADMINISTRATION ONLY ' <br /> Capital Project No. ~ ~ ACK~ J ~ ~ ~ ~ ~ ~ ~ ~ qCr"' <br /> ! GL Title ~ -d r'~ - <br /> <br /> ' 1 -V <br /> Assigne by Date <br /> ~ Accounting by Date <br /> I <br /> i <br /> I <br /> {ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Wo ksheet Q`Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's I itiating Order "Public Improvement Permit Application ? Map <br /> "'File Request Fo <br /> f3~1G 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />