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<br /> . ~ ~ ~ ~ <br /> ? ~o ~ En ineerin 7 <br /> PROJECT AUTHORIZATION FORM 9 s <br /> Public Works , <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ /''r (541) 682-5560 <br /> Service ID: 1 SID PB _ GL _ JC W_ JE <br /> Project title: ~ a < 'i - h~ G~2. ~ w~~.~ F <br /> (location a work description) <br /> Project manager /contact /private engineer: ? i-~~i a ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> ~widrns) ~widrn) <br /> Concrete walks: Setback /Curbside <br /> Oen9tn) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> l ~a - ~ ? Sr_ ~ , a""A ~ Account code <br /> Fed / Ste /County /FAA ~ I ~ ~ 3 N - ,9 ~ ~ ~ ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> y <br /> APPROVED: r <br /> Project Manager ~ <br /> - Date ' i ~ ~ ~ 4~ <br /> rincipal Engineer ~ ' ` ~ Date <br /> r... o - <br /> anager Date ~ <br /> City Engineer . / Date ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK - ~ ~ ~ _ L~ X~)<yL ~ ~ ~ ~L <br /> GL Title ~ .l ZU ~ Cj ~ 'r <br /> 9 ~C?' Date U// ~ g(~ t <br /> Assi ned b <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 />