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,ROJECT AUTHORIZATION FORM ~ <br /> w <br /> i~ <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> 8 '4' SID ~ PB ~ GL ~ JC - JE ~ ~1) 682-5560 <br /> Service ID: <br /> Pro~cttlUe: ~O Lk STR ~ ET ' YV~~~~kL~iw ~/~-ILt <br /> (Jo~on an0 Mwk dettrtpdonl n <br /> Project manager/contact/private engineer. ~ w " 1e <br /> r~ ` n~~l i tel. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> 0•n~+1 f~u+1 <br /> Sanitary sewer Storm sewer 7b0 ? Landscaping <br /> Signal Street lights ROW required <br /> New building constriction Planning, other Remodel <br /> '~y01 - Q1502~. t ,ooo <br /> FUNDING SOURCES: ,~y CZ t 4 2509 G 2O7i 000 <br /> City X ~M Assessments Private Other department <br /> Apcount lode <br /> Fed /State /County /FAA ~ f'aed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~oass~~,~-~ o~~•~,r~3c' U~~E~.[~Rv~~~ wA-r~t~ ~.v+?~rT~ F'~1~G>;trr~ f j <br /> i nl `til i ~ >c X ~ ST ~ 41 [r p tP,ED 1~ ~ ~ A 6 ~ ~ y 5-rE tiK <br /> APPROVED: ' _ / ~ _ a <br /> Project Manager Date <br /> Principal Engineer ~ Date ~ ~ ~ <br /> Facilities Manager Date <br /> City Engineer Date 7 o Z <br /> nFOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. "/aS~ ACK ~ ~ 933' ~ 9O?5o9'~ <br /> GL Title ~TM /~D~-~ .S-7~ ~Y QI ~y~fi! <br /> Assigned by ~ Date ~ ~ L <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineers Initiating Order ? Public Improvement Permit Application ~ Map <br /> ~1 File Request Form <br /> ENG 415 WHITE ! France YELLOW /Administration Fle PINK /Engineering Flle GOLDENROD /Project Manager JANUARY2000 <br /> <br /> r , <br /> <br />