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<br /> _ <br /> PROJECT AUTHORIZATION FORM E"9'"~''i"9 <br /> Public Works <br /> Cily of Eugene <br /> 244 E Btoaciway <br /> / ~~~,3 Eugene, oR s~4o~ <br /> Service ID: 7~~ ~ SID ~ PB ~ GL ~ JC JE ~ ~ <br /> Project tine: /~A~?`1o~6 .J~r9li:.l4 ~/~i~f~t .7003 ~ ~gs~~/s ~tX' ' ZZ~ 35" ~L E~$7 <br /> s ~ fs t~/. /~Afi~saa a'~ S3~ ~ <br /> S~~ <br /> Project manager /contact /private engineer. /~Li ~L <br /> PROJECT SCOPE: <br /> Paving: ~ / Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> Sanitary sewer ~ 7S /Of) Hl~l(n~E3 Storm sewer ( Landscaping i <br /> ~9~ Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDI SOURCES: I/3, rJ7A <br /> City Assessments Private Other department <br /> Wp/ ~~6 ~3Z Acootmt code <br /> Fed /State /County /FAA ~ <br /> COMWIENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 16~r~xsss NC /I'Ir~la/~ ' <br /> s s la' ~s N <br /> e? E l ~ Is ~ ~ q " ' I <br /> ~ a - I <br /> s ,aar <br /> 6 .a ~s ~ r~ s ~ W <br /> E tr . <br /> APPROVED: ~ <br /> Project Manager ~ Date ~ ~ D <br /> Princpal Engineer Date G <br /> Facilities Manager Date <br /> City Engineer Date ~x~' ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. .93s~a.~~ ACK ~3a 933a Gxxx ~ 935LL5'S <br /> GL Tide s /'/"D w ZD'Q3 <br /> Assigned by Date ~ ' ~ ~ <br /> Accounting by Date f -~'O.3 <br /> A ACHMENTS: <br /> et Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC Budget Worksheet ? Engineering Agreement ? ngineering Service Work Request <br /> City Engineer's Initiating Order ? Public Improvement Permft Application Map <br /> ,File Request Form • <br /> ENG 415 WHITE / France YELLOW / AdmiNstration Fle PINK /Engineering File GOLDENROD /Project Manager JANUARY 2700 <br /> <br />