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<br /> ' • V/ <br /> - PROJECT AUTHORIZATION FORM ~'9'n`~r'n9 <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> n Eugene, OR 97401 <br /> r, A~"? (541) 682-5560 <br /> Service ID: SID ~PB ~GL 1~ JC ~ JE~ <br /> Project title: - ~ ~'l ~ ~ ~~"~'~f~~h'T19~ <br /> potation arw work ion) ~^1,,~,, <br /> Project manager /contact /private engineer: _'79'n+~ jll~lb-,,>`p~S~wf~l- <br /> PROJECT SCOPE: <br /> ~ <br /> Paving: ~L~ <br /> ~ <br /> ~ o t~ ~ ~l ~ w I Y+'1 Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (Jenyfh) (wkllh) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~7'D7K.,~ /~,3 9,330? ~3.Sr ~7~~/yC <br /> City Assessments Private Other department <br /> Account code <br /> c- <br /> Fed /State /County /FAA fixed) ~-r <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ,t <br /> :i <br /> '-r <br /> r~ <br /> APPROVED: I <br /> Project Manager Da <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ACK ~ ~3~ ~X~X ``"f <br /> GL Title ~ l 1GL~'Y1~trti' ~ ~ ~1'~ - ~ ~ ~ . <br /> Assigned a ~ Date <br /> Accounting y 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 Fife PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> /'..V~ ~ 1 / ~ i ~ . it . f_``J. ~ . <br /> <br />