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PR En insert <br /> OJECT AUTHORIZATION FORM ~ 9 n9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service 1D: ~ Z Z 0 (541) 682-5560 <br /> SID____ PB ~GL - JC _ JE <br /> Project title: ~ tSrrCL-t~1 CZ..~ d,c - C,~ <br /> (bcabon aM work descnpdon) ~ i r..b r C O ~ ~ ~ <br /> j M~ <br /> Project manager /contact 1 private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: ~ O <br /> Concrete walks: Setback !Curbside <br /> (~h1 (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 ~cLp?was ~~LAssessments Private <br /> Other department <br /> Account code <br /> Fed /State-,!..Ccuaty,~.~,4p~ ~ H \nl A fixed) ~ L- <br /> cn <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENTAl~WORK DESCRIPTION; <br /> c .1 \ w \ \ taw aa. ...s.-~ 1 4 ~ ~ ~ prr•,~..~ ,Y, <br /> 0.~..q W~¢.K. -~r-~ d2tiT'~' ~s~ '~'t'tl{T,yc~' ~`w~(ate~•+C ~r <br /> I <br /> ~ ~s Ctz ~ ° w.. ~ \ c.~.l <br /> e.~~ ~ testa s ~ r..a.~ ~ v1~ 7 <br /> ..vs ~a.r T Ca.A \ i ~ r+. P~\~ i~ W OC~OC~ <br /> APPROVED: , <br /> Project Manag tr~._`r•~.~ 'Loo <br /> Principal Engineer Date ~ /D ~ O 4.-- <br /> Facilities Manager Date ~7~ <br /> City Engineer Date 7(~~°~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9-sst~oa ACK ~ 433a ~X KXx 955oaa <br /> GL Title ~ e ~ ~1~.~1'1 ~'S - ` ~ V/~ <br /> Assigned by Date ~ ~ 7 <br /> Accounting by Date <br /> ATTACHMENTS: <br /> udget 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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />