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• . ~ ~ ~ ~~~~j~ <br /> <br /> ' J ~ PROJECT AUTHORIZATION FORM ~ ( Engineering <br /> ~ ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ,rte r (541) 682-5560 <br /> Service ID: SID_` PB _~~~GL= JC s. JE - <br /> Project title: ~ ~ j 1 r' <br /> (location and work description) ; <br /> z. <br /> d..., / <br /> Project manager /contact /private engineer: .t ~ ~ ' ; <br /> PROJECT SCOPE: ~ i , . <br /> P~vit~M y I ~ • F. x Bike I ne <br /> O a s /paths: w;drn <br /> ( ~ <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~ ~ r ~ ( <br /> f City Assessments Private Other department I~ <br /> t <br /> .~._Q. ~ ~~t... : , n1 r ~ Accoun code ~ t o <br /> Fed (State /County /FAA (/o fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> f.,i. ~ . <br /> ` 9 ~s ~ o~ - ~IM1t~tr~k~'rl?Y) ~ r sco+l p <br /> Q <br /> APPROVED: .,t r <br /> Project Manager # fir....... i - t:•' - Date 3- f - <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date - <br /> FOR USE BY ADMIN~~/RATION ONLY <br /> Capital Project No. ~ i r'.x~'" ACK . t,_ < y ~ F ~ r'< <br /> ` t~'" <br /> GL Title ~ ,t _ ~ t i. ?Y1 ~ ! <br /> i , ; , ; <br /> j~, ~ E` I ~ ,j` t. Date j i t ~ e <br /> Assigned by - ` <br /> Accounting by Date <br /> ATT~ICHMENTS: <br /> [~udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~,j ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? Cdty Engineer's Initiating Order ? Public improvement Permit Application L~'`Map <br /> Q•"~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> 1 <br /> <br />