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-x, _ . <br /> . ~ ...r. a '~4y aJ....M <br /> PROJECT AUTHORIZATION FORM ~ ~ Publc Wor 9 <br /> City of Eugene <br /> <br /> + c~~ ~(~MmG~ ? ~ Eugene, OR 97401 _ <br /> 4. ~a ~ ~ (541) 682-5560 <br /> Service ID. ~ SID PB ~ GL ~ JC ~ JE <br /> r <br /> Project title: ~ ~U k <br /> [ NG?u ~r t,~ t ~ S I cT Ts~:~N ~'~.'1~AZ'(Ut~ I r~1('kDVEM ENT <br /> (location and work descriptwn) <br /> i ~ N ST ~ i ~c I L.Y~i <br /> Project manage /contact /private engineer: ~+O ~ l~./\!"! 1 ~r <br /> PROJECT SCOPE: Y ~N <br /> Paving: ~ ~ s r ~ ~ "r ~ ~ ~ ! ~ ~ ~ / Bike lanes /paths: ~ e-~ <br /> (widths) ! ~ (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer t-r`' Landscaping t/ <br /> Signal ~V+.t C' Street lights ~ ROW required L-~'" <br /> ~ ~ Remodel <br /> New building construction Planning, other <br /> FUNDING SOURCES: t_pr~~ C„~,~p~j,r_.y <br /> City ~ ~ Assessments Private Other department ~ . <br /> ~i~~r CiDG, t~C3 Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~~le`if1~" ~ ( - <br /> ~ n , ~s G_.~ <br /> G ~ ~ M ~t. 4 t C.+~' C/ r. ~ ~ . <br /> f ~'Y;.,i ~ <br /> APPROVED: <br /> Project Manager J ~ Date ` " <br /> Principal Engineer Date ' I ~ ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ ~ 0 ~ t K X ~ X ~ ( <br /> GL Title ~ ~.~'~'~~~..~,1~;>,A. `a-+~,4- ~~t ~a~ y'"U. 1'.i r""~ n --L j' <br /> ' U ~ Date ~ 7 ~ L <br /> Assignedt~iy <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 />