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J~ <br /> f <br /> ~ Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> l <br /> ` City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ (541) 682-5560 <br /> Service ID: ~ ~ SID ~L PB ~GL _ JC _ JE _ <br /> Project title: ~ ~ ~~.!1L y~IIQ'!~~"P <br /> (location and work description) c j <br /> Pro'eci mana /contact /private engineer: G i C- ~©~Q <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (wfdrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> pergrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> W~+ta~ <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed State /County /FAA b fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK ESCRIPTION: <br /> T~,. s /s r~ a S c ~ ~ f c.~n-~ a.~~- <br /> bo~f cy5 a rn . ~ C~ ~ t <br /> t~ ~ '{1'A~ ~ lira ~ ~ !lx.vu~~ ~ a r n. La~~ C~F ~ L=Q.~.~ulC... <br /> APPROVED: <br /> Pr ect anager ~ Date °'t~~~ ~ <br /> . ~ ,f+~,,,, w~~l°..'3`r' . a~.•~.le'~" Date G-- <br /> F~cil'ti s Mana er Date <br /> ~ r ~rt~fi~~ ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~u w-~ ~ ~ ACK X31 q3~~ ~>tX u ~C 9~ 5 ~ ~ L. <br /> GL Title ~~..,~1 ~ P.,~r~ fil ?`~d c-. , f1C. C..-~- u.~"1 U Y"'1 <br /> Assigned byl ~ ~ J~ ' r' ! 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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />