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_ <br /> ~,ar•~ <br /> * / 111 <br /> "PF~4JECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ Y. SID ~ PB GI!! JC 1.L JE _ 1541) 682-5560 <br /> Project title: ~ ° ~ P o 2-r ~ ~ ~ E A ~ i ra >~n ~ 'C" <br /> (location arSd work description) <br /> Project manager /contact /private engineer.. 1 ,e.. ? F~ 1 4 i ?~~s a <br /> PROJECT SCOPE: I <br /> Paving: ~~j° Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (ien9th) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> ,~FUNDING S URCES: <br /> <br /> ~"~~aCi y Assessmen Private Other department <br /> ,T' ~g , t-u rf <br /> Account code <br /> Fed /State / County ,BG'' >~/+~2'Sf-,~",r~~., fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> "1 _ ~ ~ D rZ. "1' ~ ~ ~ f)"'71~ C?!. s~ tt 'F` ~ /J,t, "'s A fL. "f` t ~ e.. ~ r 5.. i~ ~ <br /> APPROVED: <br /> Project Manager - r~'""~ Date ~ ' 6'Q 7 <br /> 9 <br /> P ' i gineer Date ~ " ~ <br /> Manages ~ Date ° ~ <br /> City Engineer C-_.. Date ,f ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. r~~'~-~ ~ ACK ~-33't (~)<'xxx Qj~'~(-/~ <br /> GL Title ~ t t71." <br /> .~~"~ti r <br /> Assigned <br /> by ~ Date ~ ` <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 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 />