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~ <br />PROJECT AUTHORIZATION FORM ~~ Engineering <br />Public Works <br />City of Eugene <br />~ 244 E. Broadway <br />\, <br />- Eugene, OR 97401 <br />(541) 682-5560 <br />Service ID:_ ~~-3 ~ SID ~PB ~GL JC JE _ <br />~ <br />Project title: Ci~^iir'~/1d~JQ// G,,J ~'i~/~ ~~~,~~~vl~~~.y'~ <br />(location and work description) <br />Project manager ,'~~~~~~~,,g~ ~ ~j 3~ ~ ~~ ~ <br />PROJECT SCOP : <br />Paving: ~~~hs~ Bike lanes / paths: <br />~~~ (Widrn~ <br />Concrete walks: Setback / Curbside .~/~ <br />(length) (width) <br />Sanitary sewer __ N~i~ Storm sewer Landscaping <br />Signal _ ~~~ Street lights /~,~.~' ROW required~~ ,S ' `~ <br />New building construction ~~ Planning, other ~~~isf/7~/Nt6 Remodel <br />FUNDING SOURCES: <br />C~tY ~~ I~" Assessments Private <br />(~STo~?~s4 ~/i9-T~~,~ <br />Other department <br />Account code <br />APPROVED: <br />Project Manager ~ Date __ <br />Principal Engineer Date ~~ ~ <br />Facilities Manager _ ? Date <br />City Engineer ~%''~~~ ` ~ --~ Date~~~= ~C~"~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~ U~l~. ~tlJ ACK~ ~~3~ C.~xJ~ ~$ Za <br />GL Title l.~ r\~~Yrn-U-~, ~ C~.,~~ ~1 <br />Assign d by Date ~ Z ~" C <br />Accounting by Date <br />ATTI4CHMENTS: <br />;! e~udget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />~ '^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />^ C' Engineer's Initiating Order ^ Public Improvement Permit Application ^ Map <br />File Request Form <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUAAY 2000 <br />~v <br />-iv <br />( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION~ <br />