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c5 (~~1 Engineering ~ <br /> ROJECT A THORIZATION FORM ~ubii~ works <br /> I P ~ ~ ~ L. ~ t W City of Eugene Y <br /> 244 E. Broadwa <br /> ~ Eugene, OR 97401 <br /> 2 ~ n (541)682-5560 <br /> ervice ID: 7 / ~ <br /> roject title: ~~~2' <br /> (location a description) <br /> 1- t-~ <br /> <br /> j roject manager / c ntact /private engineer: u i~+~iT7 <br /> PROJECT SCO E: <br /> Paving: N Bike lanes /paths: ~ rte/ <br /> Concrete walks: ~~'9"7~~ Setback /Curbside <br /> r~ <br /> Sanitary sewer ~ Storm sewer Landscaping <br /> Signal Street lights l~ ROW required <br /> New building co struction ~Q Planning, other Remodel <br /> FUN NG SOU CES: ~ a~i GiGiD ~d1K- 32 t !o ~ 799 40S i ~ Z- <br /> City ~ ~ Assessments Private Other department <br /> ~QC9 (,'~tt~. -,,~~1p S Account code <br /> Fed /State / Co my /FAA fixed) <br /> OMMENTS / SPE IAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> a - rites <br /> / o <br /> APPROVED: ~ ~ ~ <br /> Project Mana Date <br /> Principal Engin r Date 3 <br /> Facilities Mana er Date <br /> Date 9 -6.~ <br /> n FOR USE BY ADMtNISTRATtOcN^ ONLY <br /> Capital Project No. 3 ACK ~ Z' I ~ 3'~`~ ~XXXX' 3J~~OZ" . <br /> GL Title <br /> Assigned y Date <br /> Accounting by Date . . <br /> ATTACHMENTS: <br /> Budget Estimat ? Developer Agreement ? Engineer's Report On improvement Petition <br /> ? SDC Budget W rksheet ? Engineering Agreement ? Engineering Service Work Request <br /> City Engineer's vitiating Order ? Pubiic Improvement Permit Application ~ Map <br /> ? File Request F rm <br /> 'ENG 415 WHITE / Fnance YELLOW /Administration Fle PINK /Engineering Fle GOLDENROD /Project Manager MARCH 1998 <br /> <br />