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~ROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> G' 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> , / (541)682-5560 <br /> Service ID: ~ 2 ~ SID! PB " GL _ JC ~ JE - <br /> Projecttitle: w~ ~~'T', ~ V S'TO/?M P/Q/= I~RaM S/.~V/=C/4 % <br /> a /fW y ~9 <br /> Qoeatl°n and „crk desaipaon, dd <br /> Project manager /contact /private engineer: /T~~ ~ ~ ~ ~-F <br /> Y <br /> PROJECT SCOPE: <br /> Paving: Bike lanes !paths: rte/ <br /> Concrete walks: Setback /Curbside <br /> i <br /> Sanitary sewer Storm sewe+4 / <br /> 9~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> 3',3..5 43302 6 / 749 9 7s~a ~f <br /> FUNDING SOURCES: ~qq r77I ~p~O ~l~ E`'( p 1~ Q G <br /> City X Asses~rh~ri~s°~ ~ ~ rivate 3 eL G t 79-` Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T l CaS ~S /lam o ~ C f <br /> d d L ~ / <br /> APPROVED: <br /> Project Manag ~ Date ~ ~ <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 7~llG f-- <br /> FOR USE BY ADMINc~ISTRATION ONLY ~t <br /> "1~~~ ACK cJ~~ Q~~2- L~XG~J~ ~ <br /> Capital Project No. <br /> GL Title ~ y r ~I, <br /> t f1.. <br /> Assigne y Date <br /> i <br /> Accounting by Date ~ ~ <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> <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 2x00 <br /> <br />