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~ Sam ~ Pv~-~ -tz, rr-ri ~ tc~ (~vuc h J~hr ry <br /> S, q(y 153 <br /> PR'®JECT AUTHORIZATION FORM Engineering <br /> t Public Works <br /> ' City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> c (541) 682-5560 <br /> Service ID: SID ~ PB GL ~JC ~JE _ <br /> ! Project title: <br /> (wcation ana w~oAc desagoran) 1 /'1 ~ ~ I I.O~ <br /> Project manager /contact /private engineer: C- n ~ ~ G(~~ I _ <br /> PROD <br /> Pavin ~ ~ , _ ~ ~ 1~ ~ 1~~ ~ <br /> ~ / <br /> Conci _ ~ ~ , <br /> New : ~ ; t`l r Remodel <br /> FUNI 1 ~ a ~ '~~'a_ <br /> City ~ ~7vate Other department <br /> _ Acx;ount code <br /> ed ~ ~~c1\~L (t ~ ~ ~ C _ j f fixed) <br /> _ d <br /> z ~ l 1 ~ < ~ - <br /> - ....._._.i...___._____....___~.-__..,.._...._._.~~....o..._... <br /> COMME ,l ~ ~~-AENTAL WORK DESCRIPTION: <br /> e ; <br /> r ~ ~n <br /> S cv, z~l s <br /> r, - T g ~ <br /> APPF <br /> - _ <br /> ~ <br /> D'~ ~ <br /> Projec _ <br /> P.ciasii i <br /> _ <br /> _ . r~ <br /> .Poi S.- 3 ~o °r e ~ ~ <br /> City EI____ <br /> V ._.------._3l~_..._._1INISTRA ~ <br /> _ ~ 2 <br /> ~ <br /> S~J~ <br /> Capital ~31p - <br /> ~ , _ ~ ~9 <br /> _ ~ <br /> GL Title ~1,, Lj _ f ZG1~~ ~L <br /> i - <br /> ~mm_. s z 1 <br /> . <br /> Assigns - Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> ~r ? 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 /> <br />