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i <br /> ' PROJECT UTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> i 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ / ~ ~~~t (541) 682-5560 <br /> Service ID: ' ~ ~ SID, PB ~ GL _ JC _ JE <br /> Project title:. ,~;L,~/ ~-.--D 1~1'" f ~ / C r?.t C ~ E' "~L1 _ <br /> (/oca ' an44work description) <br /> ,G'~ <br /> Project manager / contact / private`engineer: ~--+j~-~ C <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: widtn~ <br /> Concrete walk: Setback /Curbside <br /> (lengrn) (width) <br /> Sanitary sewe~ Storm sewer Landscaping <br /> Signal Street lights E/L.~t~ ROW required <br /> ' New building construction Planning, other Remodel <br /> FUNDING SO ~ RCES: <br /> ' City Assessments Private Other department <br /> Account code <br /> Fed /State / Cpunty /FAA fixed) <br /> COMMENTS / SPACIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> ' I <br /> ' i;, APPROVED: ~I / <br /> Project Manager Date <br /> Principal Eng~neer Date ~ <br /> Facilities Manager Date <br /> Ciry Engineer~~.~~~`- F-~~-,, Date- / <br /> FOf(R"~USE BY ADMINISTrRATIO/N /ONLY r-~ <br /> <br /> ' Capital Proje~t No. ~ / ACK ~ ~ 1 `.~.X.'C ~ l <br /> GL Title ! ~~.~~r ~ y'~ <br /> Assigne by ~ ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estim to ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> s ~ ? SDC Budget orksheet 'Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer' initiating Order public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 I WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ~ <br /> <br />