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X78'7 <br /> i <br /> , <br /> i ~ PROJECT AUTHORIZATION FORM E"91ne8H"9 <br /> ~ * Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> i ~ p (541) 682-5560 <br /> ~5ervice ID: ~~o <br /> ' ~97~' ~~Ny~ GoyP~. ~x Sro~rvl .D,~~t~sC ~'~'1~,48. <br /> project title: ~ <br /> (location and work description) <br /> ' J 4t Y1~ 1 Cl' ~ i ~'C~ ~q~ (JI ! ~(IrVJ~ <br /> 3 <br /> project manager /contact /private engineer: <br /> I 4 <br /> I <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> . (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer y~~ Landscaping <br /> - Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> i FUNDING SOURCES: <br /> i City X Assessments Private Other department <br /> Account code <br /> ~ ' - ~j8d':I 3i13 /County /FAA ~ fixed). <br /> O iIMLNTS/SPECIAL PROJECT,INFO. / INTERDEPARTMENtAL W014K~DBSCRIPTION: <br /> , <br /> i. <br /> ~ ~ H ~ ' <br /> f <br /> . <br /> . . <br /> + - _ , <br /> j APPRtWED: . <br /> Project Manager Date ~ <br /> ~ G~- 2Z <br /> y. , <br /> principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ' ~ ` <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No.~~ ©7 ACK J ~ I " ' ,2(x ~ ~ ~ <br /> ~ GL Title .fit _ ~ T ~ r~k c ~ -r^'' <br /> Assigned by (f',~~~--»~--~-~ i~~/~~ Date <br /> ! <br /> <br /> ~ Accounting by ~~rL~<„~-c- Date ~ ~ S <br /> I <br /> ATTACHMENTS: j <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 MARCH 1998 <br /> <br />