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~ M1ni 'i n ...~,~.n_ i. iJw. "Weab`sd .a.,.... a ~ ~ a - <br /> ~ +W ro v v. <br /> P~ROJEL~T AUTHORIZATION FORM Pubic Works <br /> <br /> 1. ~ ~ <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 _ <br /> ,i3 (541) 682-5560 <br /> Service ID: ~ Sld?+''~+ PB P GL~ JC ~ JE ! <br /> 'Ll <br /> ''I <br /> Project title: ~ ? -j ~-~~t? ~ }S 4 t~Cs.t"VL~ bra - - <br /> (location en work description) <br /> Project manager /contact /private engineer: pt <br /> T' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (widen) <br /> Concrete walks: Setback /Curbside <br /> (ienprn) (widrn) <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 /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manage Date <br /> City Engineer ' , % ~ Date .J <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~r°"~~~~-~ ACK 53~ ~X?~~X gyj~2U <br /> GL Title t-., ~i L? l ~"l_~ I"~: l ~ ',f," /~~C~-+l VLi./14'p.1 / <br /> Assigned y ~ ~Y GG't'~'-.-~" Date 8~~"'Y <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 />