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~ <br /> <br /> ~"a'PROJECT AUTHORIZATION F®RM Publ c Wor <br /> k . <br /> City of Eugene <br /> ~ e, 244 E. Broadway <br /> / ~~V Eugene, OR 97401 <br /> ` (541) 682-5560 <br /> Service ID: SID~PB ~ GL rJC~! JE _ <br /> Project title: ~ t' r0 Q C'. I'1 1-tGt"~ iYG( U~' f'1'1(° 7 ~rE 5 E' L)G / ~ ?1 <br /> (locatio rkdescription) ~..J <br /> Project manager /contact /private engineer: CL°. wQ ~ ~ ~ t" f t ~ <br /> PROJECT SCOPE: ~ r <br /> Paving: L~- Bike lanes /paths: (~~h) <br /> (wrdrbs) <br /> Concrete walks: Setback /Curbside <br /> (ie~) (widtA) <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 DESCRIPTION: <br /> - / r,. <br /> . . ~ G ~1 ? .1 . <br /> APPROVED: <br /> Project Manager Date t~""~ <br /> Principal Engineer Y Date <br /> Facilities Manager Date <br /> City Engineer ~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital ProjectNo.~~ri~'~ ACK,~~ ~Xxxx <br /> GL Title <br /> Date ~ ~ 2 U <br /> Assigned <br /> Accountin y a 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 /> ~~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />