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~~~~t, <br /> V <br /> ~ Engineering <br /> (PROJECT AUTHORIZATION FORM Pubiic works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541) 682-5560 <br /> Service ID: SID_ PB ~ GL JC ` JI~ <br /> Project title: <br /> (locati and work c tion a <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ~lengrn) (wfdrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private_~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> i <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date S <br /> Facilities Manager Date _ <br /> City Engineer Date ~ ~ <br /> r~ FOR USE BY ADMINISTRATICON ONLY ~ +2^~ <br /> Capital Project No. u ~ ~ ACK ~~y~ ~ J <br /> GL Title 0~ t <br /> Assigned y Date < <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ` , ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> s~ ~ ? SDC Budget Worksheet ~ ngineering Agreement ? Engineering Service Work Request <br /> Ity Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> 6~ File Request Form <br /> ENG 415 WHITE /Finance. YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> q~~~ <br /> <br />