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<br /> . <br /> PROJECT AUTHORIZATION FORM Publc Wor <br /> s <br /> ~ t; ~ r. City of Eugene <br /> ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> Service ID: / SID PB ~ GL ~ JC ~ JE <br /> Project title: ~CC/1hlr~u a~Jf7.'Yir1 !1 i~rr <br /> (location and wo~escription) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (ienyrn) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other x Remodel <br /> FUNDING SOURCES: .S3 ~ 933 9~5Dd~ ~GhC 6 <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> MMENTS /SPECIAL PROJECT INFO. / INTERDEPAFjiTMENTAL WORK DESCRIPTION: <br /> ' <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~SU ACK Jr~l 9~3~ XXJCXX ~~5~~~~ <br /> GL Title ~ T~~ CSC ! ~t~ C.(,[A /'"~Q/.~~~~~ <br /> Assigned by Date <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 ? Map <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />