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<br /> PROJECT AUTHORIZATION FORM Publ c Wor 9 <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Y e' (541)682-5560 <br /> 1)`'~, <br /> Service ID: SID_ PB - GL _ JC _ JE <br /> Project title: ~-''~~j Ir' 4 ~ . 1 ~~'"~.~1 j - ~I.°' E.-1-~ 8 z~° ' 4 i d`~ i~' ~ i <br /> (location and wodr description) <br /> Project manager /contact /private engineer. I d ~ ~ ~`'l ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Sigrial Street lights ROW required <br /> New building construction l~~-° Planning, other ~ i ~`tG- j ~ Remodel <br /> FUNDING SOURCES: <br /> City < r.. f l Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ,r <br /> Project Manager I ~ ~ ~ " Date ~ <br /> ~ ~ <br /> Principal Enginee Date <br /> IA ~ _ ~ d <br /> Facii~ities-Manager ` i~"~' ' - Date <br /> . ° _ T " Date L ' 7 r`~ <br /> , ~ <br /> r <br /> OR USE BY ADMINISTRATION ONLY <br /> Capital Project No. <br /> / K <br /> GL Title (J ~ ~ ' TG1 ~I~1 . i . _ ~ ` <br /> Assigned by ate <br /> l <br /> Accounting by ate <br /> ATTACHMENTS: <br /> ~udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> u SDC Budget Worksheet ? Engineering Agreement ? ngineering 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 /> <br />