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~ "J <br /> <br /> PROJECT AUTHORIZATION FORM ~ Publ'c Wor 9 <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~~11 - / _ / (541) 682-5560 <br /> <br /> Service ID: "'f'~~~ SID~L PB ~GL ~ JC JE _ <br /> Project title: ~-1?~~ ~~~D~ " ~??l-~M <br /> (location and wak desaiptan) <br /> Project manager /contact /private engineer. 1 <br /> PROJECT SCOPE: 1 ~IVf~st V ~F'~~-S ~a''t Oil l~cl" /fib R~1bCx~ ~-ct4N 'NeRK <br /> itl.iCt~"~PtK~-1.1 ~LlT1+ t3i..Pt's • Bike lanes/ paths: <br /> Paving: <br /> Concrete walks: Setback /Curbside <br /> rte/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: iPJ~K" q~'SD7.(~ ~i799 <br /> 33 s8/ ~ICnoti/. <br /> City ~ AsseS~sm~nts Pnvate Other department <br /> Account code <br /> Fed /State /County /FAA ~ Z"~Cl.~-~~ C'~ ~ fixed)" <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Tl~ L 3 Grp N t TA,.?~G~ ~.Y PfA.Ls~.~ tzo f~. tZ~'CiQ ~F'© R. t~AT <br /> Q~•"F-~ PbIJL» °~[+f~Y t5 ~[,i1.~ID~~'J `~/6'T4~- i~L.M~s G.C.1 ~.tw~D,S . <br /> , <br /> APPROVED: <br /> Project Manager Date 4 ~ ` d <br /> Principal Engineer Date <br /> Facilities Manager Date i <br /> City Engineer ~ Date G 2Zlo~ e <br /> FOR USE BY ADMIN RA~;ON ONLY ` <br /> ~l`••I~ ~ 1 l0 ACK g ~ ~~1 7 <br /> Capital Pro-jec~t <br /> No. <br /> GL Title ~ ~ ~~S <br /> r Date " v <br /> Assigne y <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 /> ? City Engineers 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 />