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1' 1 ..a~__... Jr <br /> <br /> ' c~1.1`...i <br /> a "PROJECT AUTHORIZATION FORM t-ti{ f~~ 4 ~ Publ c Wor 9 <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> v~ N'' (541) 682-5560 <br /> Service ID: SI~_ ~B _ GL _ JC ~ JE <br /> Project title: e- <br /> (location and work description) n ii <br /> Project manager /contact /private engineer: t7 k7 ._L_. h F <br /> PROJECT SCOPE: ~i <br /> P~f iir,; <br /> i ~ 1'k fj1~ ~ I ~ ,Cj~~.1 ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (w~tn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> ty 3~i Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ <br /> Project Manager Date , <br /> Principal Engineer Date <br /> Facilities Manager ._.a. ~ Date <br /> f L.___ _ Date Oi 7 f < <br /> City Engineer ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~Y l: AA"~~~~ rr ACK ~ ~ ~ ~ ~ x ~,u,T-Lr~T~~ 7 <br /> GL Title ~ ~ C G'~~G'Y (.JCS. ~V (A t'~1 C_.- t <br /> J R..C I ~ ~ r!4i'l~ _ ~ Date b ~~~o~ <br /> Assigned <br /> Accounting by Date <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 Impr©vement 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 />