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PR E Engineering <br /> OJ CT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541)682-5560 <br /> XXccervice ID: - ~ 4 z ~ SID" PB v GL JC JE _ <br /> HIJ~~a,RT <br /> Project title: LC.~SS ea ( ~ SSI N <br /> (location and work description) <br /> Project manager /contact /private engineer: 9 ~ tI "y S <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> j Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning<ntherJ Remodel <br /> t <br /> FUNDING SOURCES: . L <br /> City f,~!'2~ Assessments Private Other department <br /> !~~J ~ Account code <br /> Fed /State /County /FAA 9~ o ~~2~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> f OVA D;E ~ ACC2SS N~fo 51 N uC.'T1c~~ <br /> t N[.W ATES '~ri ~i4ST GvA ~1.~~ T <br /> ~ APPROVED: <br /> <br /> j Project Manager Date - ~ ~ b' d , - <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> City Engineer Date ` ~ ~ / <br /> FOR USE BY ADMINISTRATION'/ON/L_Y <br /> Capital Project No. ~Z5D92- ACK ~ $~/Z 8337 (p~CXXX 9ZS1~9L <br /> GL Title ~ t ~ . <br /> Assigned by Date ~ ~ <br /> ~ ~ ~ 9 <br /> Accounting b Date <br /> ATTACHMENTS: ~ ~ ~ <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Im ~ rerfae@~~~~ti~ <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wor Re?i?sj , i <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form ~RJ`J <br /> 1 ~ <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager IlAA}' 2000 <br /> <br />