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PRf~?JECT AUTHORIZATION FORM Publ c Wor 9 <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> _ J a` (541) 682-5560 <br /> Service ID: -f~~ra - SID 1` PB ~GL '~JC ~ JE - <br /> Project title: Bl-/~( ~ SS 15 f-~ n ~~rrr~n .~~'7 -Og <br /> (location and work description) <br /> Project manager /contact /private engineer: ~~n ! ~l~~~e~ ~ PLUS <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (w~ro <br /> (widths) <br /> Concrete walks: Setback /Curbside <br /> (ie,>en,) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> Ciry Assessments Private Other department <br /> Account code <br /> ~e~tate /County /FAA l®n`I p fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~r r r ~ <br /> APPROVED: t <br /> Project Manager ~ Date ` ~J <br /> Date <br /> pxiaci(a.~IJo+igiaoer <br /> a~ Date ~ ` / ~ i <br /> <br /> /''~a, C Manager _ <br /> - Date ~r~~ - GO <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ i ~ ~ ~ ~ ACK J~3t'L' 9lv 3~ X~X X "7 ~ Q ~ ~ <br /> GL Title ~3L/~{ ~~s(5 ;~~C/1CP~ ~q~n'1/l L~~'U~ <br /> $ D <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> I' ? 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 File PINK! Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> , i i <br /> <br />