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c <br /> <br /> - - - - <br /> PROJECT AUTHORIZATION FORM E"`'lr'~""~ <br /> Public Works <br /> S 1 ~ ~ L PB ~C J Ei City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~ r .rte ~ 'f-., <br /> ProjecttiUe:~~/E I~oI~IDS b ~v UN~`'~1~! ,~.L~~1~ <br /> ~ ~ <br /> Project manager Jcontact /private engineer:..(_Ji~ <br /> V`~if ~ S 5 <br /> PROJECT SCOPE: / ~ <br /> Paving: ~ ~ ~ ~ [LW <br /> ~ <br /> ~~ike lanes /paths: t <br /> Concrete walks: Setback /Curbside <br /> pergrh) . t»tdml <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ I <br /> ~ t~~i 0 00 O ~11~/V # ~p 9 <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County 1 FAA C fixed) <br /> C ENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r <br /> v~ N <br /> a <br /> a N~ . <br /> Q <br /> APPROVED: <br /> Project Manager Date Z ~ a <br /> Principal Engineer Date o <br /> Fadlities Manager Date ~ <br /> c Date ~ <br /> a <br /> FOR USE BY ADMINISTRATION ONLY 2.~, <br /> Capital Project No. ~ 5 3 ZZ ACK °~~5 ~ ~ ~f 5 `'tea` <br /> ~LTiae ~P~~C~ ~O~S_ ~ ~1'1 l~'i <br /> Assign 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 i A~ninLstraUon File PINK /Engineering Flle GOLDENROD /Protect Manager MARCH 1988 <br /> <br />