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l:~ <br /> Ph~.~JECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> <br /> ~r , I - ,,~L( Eugene, OR 97401 <br /> Service 1D: T`OE' ~ ~ L / ~ i~J"? (541) 682-5560 <br /> SID PB GL -I~_- JC JE <br /> Project title: a IT`f' 1t' l Bst1 l ~ 1Lt ~ L°v 9s{~ P/S+l~l6r~T ~1~-f ~~A'f (r~ <br /> (bcation and wodt ' tion) <br /> Project manager /contact /private engineer. ~7~~D f~ <br /> PROJECT SCOPE: r <br /> Paving: 4~~2~ ~ t 6-el,U1~1 W l 1 r1~Y Bike lanes /paths: <br /> lam) <br /> Concrete walks: Setback /Curbside <br /> (widen) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ;,1C~y ~~a~ f <br /> j~-~cv 9~'~02 G~~3~' 9~'~a~~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> - <br /> APPROVED: 1 <br /> Project Manager Dat <br /> Principal Engineer Date <br /> Facilities Manager Date _ <br /> City Enginee Date y ~ <br /> 1 <br /> yyFOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. "'~i ~ ACK i3~ Q~3a ~~~L~LrSC-~ ~LE~.~'~~ F <br /> GL Title ~ ~ I <br /> w <br /> Assigne by ~ Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> QJ 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 41'5` WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> i• <br /> <br />