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" ~PR~JECT AUTHORIZATION FORM {~,.a rj ~ ~ F~bicwo <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> f 1 ~ ~ ~f.'' ,r ~ (541) 682-5560 <br /> Service ID: SID_ PB GL _ JC _ JE <br /> Project title: ~~~:z,~~r1 t....•+~~(h ~+~~~,~~,°t: ~•y~a.s~ (~~~~~,car,.:I "f 'r; C~'r~kaa~"~" <br /> (location and work description) <br /> Project manager /contact /private engineer: 'I ~ <br /> = ~ ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widtns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) I <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal ~ Street lights ROW required ~ <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES:,., <br /> City ~ b~ /~"'Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> <br /> ry , COMMENTS /SPECIAL PROJECT INFQ INTERDEPARTMENT L WORK DESCRIPTIONM, , <br /> a~~..ur fjs ~ f ? r. ~ ~ <br /> APPROVED: <br /> Project Manager l~"_"A_'."_'_, Date G° ~'~'Y';;~• <br /> '~-t ~t ~ ~....Y.u..,'.` Date <br /> Principal Engineer ~ ' ~ ~ / ' ~ ~ <br /> Facilities Manager Date { <br /> City Engineer Date <br /> , <br /> FOR USE BY ~YDMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ACK e'_`_ <br /> GL Title ~lJi.`r~ ~~£'~1 ~-lt C r'''~Cri..~ <br /> r ~ l <br /> Assigned tky~ ~ 4 ~ Date j <br /> I <br /> Accounting,by Date <br /> ATTACHMENTS: <br /> ,,~J~Budget 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 /> »~_~__Fu. _ <br /> <br />