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r <br /> <br /> r <br /> PRWJECT AUTHORIZATION FORM Fub <br /> c wornics <br /> I ~ ~ ~ ~ jE(~ / City of Eugene <br /> ~ y 244 E. Broadway <br /> ~T`~ Eugene, OR 97401 <br /> ~~J~ ~ ~ ~ ~ / (541) 682-5560 <br /> Service ID: ~u~~,-1l/ ,p/] SID PB _ GL r_ JC t/_ JE <br /> Project title: P~F~I`-~c r ~ ~'i~~~ <br /> `~i° `~~°i~t ~ # ASS,, <br /> ~~~wwattJnn ~~,,II ~ I <br /> Project manager /contact /private engineer. '7~'Wr'1"i' Nr~~'~'~~" <br /> PROJECT SCOPE: _ <br /> Paving: ~~p " ! ' - ~ Bike lanes /paths: <br /> (wMthsl ~ l <br /> Concrete walks: Setback /Curbside <br /> (J (wida~) <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 DESCRIPT N: <br /> L~ Cast © C ~ W p <br /> p 6~J s ~ r, ps ~Tcwt~'~.,~ STS ~a~Pi- ~'t~- <br /> r <br /> APPROVED: ~ <br /> J <br /> Project Manager Date <br /> Principal Engineer Date ".~.a' ~ <br /> Facilities Manage Date _ <br /> City Engineer Date ~7 l~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ' ~ ~ Q3 ~z ~ Z <br /> GL Tftle ~J~ ~I ~ ~C l.J~~ <br /> Date ~~/1 g` <br /> ~ `2~ <br /> Assigned 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 Engineers Initiating Order ? Public Improvement Permit Application ? Map <br /> ? File Request Form <br /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />