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<br /> r ' <br /> a <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: SID_ PB GL _ JC _ JE _ <br /> Project title: 1"' ~ ~ r er <br /> Project manager /contact /private engineer. • ih <br /> PROJECT SCOP~: M ~ / <br /> Pavin Z ~ Bike lanes /paths: <br /> 9 f ~ <br /> Concrete walks: Setback /Curbside <br /> (1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S RCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMM TS /SPECIAL PROJECT. INF / INT DEPARTMENT WORK DES RIPTION: <br /> -~r ~hiS 2 r' ~5~~ <br /> r ~ r con o>^~ . <br /> APPROVED: ~,~c <br /> Project Manager Date ~~dL_'`~'f <br /> Principal Engineer Date ~ ' ~ ~ <br /> Facilities Manager Date <br /> Date ~ > ~ <br /> Ciry Enginee <br /> r <br /> .-r <br /> E Y ADMINISTRATION ONLY <br /> et5S5~I <br /> Capital Project No. ACK , ~3 ~33a C ~X1 `'1 ~J 5 S~~ i <br /> c- <br /> ` <br /> GL Title ~ 1 ~ <br /> (j ~ <br /> Assigned Date _ <br /> Accounting y Date <br /> ATTACHMENTS: <br /> [Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> y(] ADC 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 File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />