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~~~--- <br />PROJECT AUTHORIZATION FORM E"g'"~~~^9 <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />Service ID: ~~ ~~~ ,/ (541) 682-5560 <br />SID ~ PB ~/ GL Y~ JC ~E ~ <br />Project title: ~ ~~.Q.~ ~ t A ~1~./ ~`~'"~ g~ ~ ~"~~ tJ C`rryc ~ ,~~ ~-~t~ ,1~~ <br />(location and work descnption) ~-~ <br />Project manage?o~ contact / private engineer: <br />PROJECT SCOPE: <br />Paving: <br />Concrete walks: <br />(length) <br />Sanitary sewer <br />Signal <br />Setback / Curbside <br />Bike lanes / paths: <br />~w;drn~ <br />width) <br />Storm sewer ~~~ 6 Landscaping <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />C~tY ` .~~ Assessments Private <br />~ <br />ROW required <br />Remodel <br />Other department <br />Account code <br />Fed / State / County / FAA <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />( %, fixed) <br />~ <br />APPROVED: <br />Project Manager_ <br />Principal Engin~ <br />Facilities Manager <br />City Enginee~~ <br />Date , J ~ ~~°'~" ~~~ <br />Date - ~ ~ ( ~ ° ~ ~ <br />Date <br />Date ~~ ~7 ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project Na _~ ~~~ ~ ACK ~~~ ~ "° ~~ ~ °~ ' ~ ~ SG~G"3G t-- ~ ~..~a ~ <br />GL Title ` °'~ ~-- ' ~, <br />r <br />..._.~--". '-, <br />Assigned by ;~' 'L <br />Date ~~' ~ <br />Accounting by Date <br />ATTACHMENTS: <br />~udget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet ^ Engineering Agreement ^ Engineering Service Work Request <br />- ^ City 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 JANUARY 2000 <br />