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1 <br /> S <br /> A A ~c Engineering <br /> PROJE AUTHORIZATION FORM i"` Pubiicworks <br /> <br /> ~ 51~ Q ~.1 L.. J City of Eugene <br /> 244 E. Broadway ~ <br /> Eugene, OR 97401 { <br /> (541)682-5560 II <br /> Service ID: ~ <br /> ~ Project title: ~"~~k-.,~Ld~-~-~A~"'K <br /> (location end work description) ~r~, <br /> Project manager /contact /private engineer: p ~~~~N <br /> I <br /> ' PROJECT SCOPE: <br /> j Paving: Bike lanes /paths: <br /> ' (wrdNtis) <br /> ` ' Concrete walks: Setback /Curbside <br /> ~ (~ergtn) (width) _ / ~ <br /> Sanitary sewer Storm sewer Landscaping V <br /> ~ Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SO RCES: <br /> City Assessments Private Other department <br /> CO 8 <br /> . <br /> . Pat : ~ CCOUn <br /> ~ ~ <br /> " ~ Fet /State / County f f=AA ' _ fixed}'° " <br /> , <br /> COM EN ! $P A P~ROJS INFO,. l tNTEFIDEP,~IRTM~NTAL WORK DESCRIPtiG <br /> ~ 1. <br /> • _ <br /> .l ~ s:,,, ,fir ~ ~ <br /> - <br /> -r . <br /> . _ v <br /> rs: o ~r <br /> APPROVED: ~ 3 ~ <br /> Project Ma a er Date ~ <br /> I Principa Date <br /> i i Facilities Manager - Date <br /> C ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> 33~, x{335 ~~cx x qty 51 I <br /> { Capital Project No. ~ ACK <br /> ~ ~ <br /> GL Title ~ ~ <br /> Assigned by Date <br /> Accounting by Date <br /> I <br /> ATTACHMENTS: <br /> 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 't~l Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW / Administretlon File PINK /Engineering Flle GOLDENROD /Project Manager MARCH 1998 <br /> ~ <br /> <br />