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_ . <br /> Engineering <br /> PF~OJECT AUTHORIZATION FORM Public works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: SID PB GL JC JE (541) 682-5560 <br /> Project title: ~ ~ ~ V <br /> (location an~ rk escri tion) _ A <br /> Project manager /contra/ct /private <br /> engineer: ~?l <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> t ~~r` (iefu~h~ <br /> f (width) <br /> Sanitary sewer -If , ~\rL] Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> S T^C~ t <br /> New building construction Planning, other_~.~'3~ f~ Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> j APPROVED: f ~ <br /> Project Manager ~ Date Cs <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> <br /> ~ City Engineer Date " ` <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. Z' ACK ~ - ~ <br /> GL Title ®i~ ~ <br /> Assigned by 4 Date <br /> Accounting b ~ Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Peti ' n <br /> - ? SDC Budget Worksheet ~i <br /> Engineering Agreement ? Engineering Service Work Reque ~ ` <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ? s <br /> °~File Request Form ~~~~~`I,~,~~ ~ <br /> ~ >E~3 <br /> ENG 415 WHITE! Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager 'AiVUARY2000 <br /> a <br /> a~t~~~. <br /> <br />