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i <br /> t . <br /> r <br /> t <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ r ~ ~ L ~B J~ „ j C,,y City of Eugene <br /> iii ~_.j 244 E. Broadway <br /> L.' ~ ~ ~ (541)6820- <br /> 560401 <br /> i i Service ID: <br /> i <br /> i <br /> Project title• 1~ L7,~ ~'F I.n:~ r,~~ ~ -~~j - t~ f~ ~ (/t N~- r`` <br /> ~ocetion end work description) <br /> j i Project manager /contact /private engineer: ~ )~?J ~ ~ <br /> PROJECT SCOPE: / <br /> i Paving: ~"'rt7~-t l~Y~~~-'~-'le'i-~- ~ w jai 1.="$ike lanes /paths: <br /> (wkffh) <br /> Concrete walks: Setback /Curbside <br /> ~ Sanitary sewer Storm sewer Landscaping <br /> ~ Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ C 04 O '7 G tI /U ~ ~D <br /> City Assessments Private Other department <br /> , Account code <br /> Filril"~#~t#Et f'G"tfu/tt~t I,)=AA % fiXed <br /> - ~ <br /> NTS / SPACIAL PROJECT INFO. / INTERDEPARTMlSNTAt WORK p~'$Cit+ttPT10Nr , <br /> .j <br /> ,~;rs~r ~~~~"r Eire ` -~-?-•'y~'~f^-~~ ~ y a ~ y ~°~f--."' <br /> t ~^.'r ; l ~ ~ ~"o i }lam?~'' ~ r~p V~~+.3 ~~„rT ~ 1 ~ '~1:. 4 1`w~~~,=~., R..~(_.~ - <br /> . ~ <br /> - <br /> _ . _ <br /> . w, <br /> ~,1" <br /> <br /> I A PROVED: . <br /> Project Manager ^ ' ~~t-s'`" u' ~ Date 3 ~ ~ O <br /> r <br /> Principal Engineer ~ Date <br /> Facilities Manag r ~ Date <br /> Date <br /> I <br /> FOR USE BY ADMINISTRATION ONLY ~ <br /> Capital Project No. ~ ~ ~ ~ ACK - 3C~~ ~ ~ Xn <br /> GL Title <br /> Assign b r Date <br /> Accounting by Date ~ <br /> i <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition ~ <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request ~ <br /> ~J City Engineer's Initiating Order ? Public Improvement Permit Application ? Map ~ <br /> File Request Form <br /> I <br /> 9NG 415 WHITE ! Flnance YELLOW /Administration Flle PINK / Engineering Flle .GOLDENROD /Project Manager MARCH 1998 ~ <br /> f <br /> <br />