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PROJECT AUTHORIZATION FORM PublcWorks <br /> City of Eugene <br /> 1.v~ 244 E. Broadway <br /> v Eugene, OR 97401 <br /> / / ~ Yt (541)682-5560 <br /> Service ID: ~ S11ID_ PB GL\/_ JC _ JE _ <br /> Protect title: ~ ~ ~ lJl.° A lie rnt° RT P~eS ti° r tJG'c~ <br /> 0?'1 <br /> / aid work desaipe~ ~ r ( o C ha rfl e 1-fo,~ <br /> -f~ ram-~.. <br /> Project manager /contact /private engineer: ~C r ~ M L I n S n'1 Q <br /> PROJECT SCOPE: ~ <br /> Pavin Bike lanes /paths: <br /> g (widens) (win) <br /> Concrete walks: Setback /Curbside <br /> (~n1 (w~n1 <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. I . / INT EPARTMENT WORK DES RIPTION:. , <br /> r ; r' 'on s r es <br /> u I <br /> ' ~,on <br /> APPROVED: <br /> ; <br /> Project Manager Date ~ <br /> Principal Engineer Date 7 ~ <br /> Facilities Manager Date <br /> City Engineer ~ Date y~ <br /> o <br /> ~ ~ <br /> c.~ <br /> ~i <br /> FOR (USE BY ADMINIS-T2RATION-7ONLY C <br /> Capital Project No. ~ S ~ 7 ACK ~ ~ J G ~x"~~ ~ ~~J <br /> GL Title ~ ~ ~ ~u <br /> Date ` <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 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 />