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~ <br /> PROJECT AUTHORIZATION FORM Publ'c Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ , / (541) 682-5560 <br /> Service ID: SID ~ PB ~ GL ? JC JE _ 3S <br /> ~~06JH~~P ~"'A~-~ 5oc~ 9 <br /> Project title: <br /> (location and work description) <br /> Project manager /contact /private engineer: ~p'l N t-~o~flcK ~oS ~[-a~ Nj ~ ~ ~ ~ ~ <br /> PROJECT SCOPE: _ <br /> Paving: Bike lanes /paths: (width) <br /> (widths) <br /> Concrete walks: Yes Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer - Landscaping ~ <br /> Signal Street lights ROW required <br /> New building construction - Planning, other Remodel <br /> FUN ING SOURCES/~~Dt?~t~~o ~S <br /> City X00 Assessments Private Other department <br /> ~ ~ aco,Gtinp 5'PGs Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> v~~rBe~-Ho~~ ~~~-K b~~~toYM r~v'~T ~ IM~ws~G1'~o N r7~= ~t~eW~teA~?~ rrr~D <br /> ~1F~-I.~t' o~~ ~ I ~V I n+~TaA~ nl~t~, <br /> APPROVED: <br /> z Date ~ ` ` ~ ~ <br /> Project Manager <br /> Principal Engineer Date ~ <br /> Facilities Manager Date <br /> Date ~ ~ ~ <br /> ~D~rO <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~~SG~S`~ ACK 3~ ~~335" lj XXX X 9aSos~" <br /> GL Title /"~fU <br /> Date ~ <br /> Assigned by <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application f <br /> ~ Map <br /> ? File Request Form <br /> <br /> ~ ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />