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PROJECT Al1THORIZATION FORM engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: SID_ PB - GL _ JC _ JE <br /> Project title: f'~yr%'1Q~Z~l~ ~ / l/°' f~yolq~',U ~ <br /> (location and work descnphon) <br /> m... e,............ <br /> 'k Q Project manager contact /private engineer: <br /> ~ ~ PROJECT SCOPE: <br /> <br /> j Il ~ ~ ~ Bike lanes /paths: <br /> I ~1/ ~y (widrns) (width) <br /> II ~/f Concrete walks: Setback /Curbside <br /> ~ (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> ~ Ci Assessments Private_ Other department <br /> ~~~7" Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INT DEP RTMENTAL WORK DE RIPTION- <br /> f` !i1 <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 3^Z-'w <br /> n FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 7®~13G' ACK 531 9332. (o~73S' ~JD~l3fe <br /> GL Title /Cl~IY1Cf~t~ <br /> Assigned by Date ~ 9 Od <br /> Accounting by Date _ ~ <br /> ATTACHMENTS: <br /> ( Budget Estimate ? Develo er A reement <br /> P 9 ? Engineer's Report On Improvement Petition <br /> DC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application; Map <br /> Ile Request Form <br /> ENG 415 WHITE /Finance YELLOW !Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> . <br /> <br />