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~u <br /> ' ~ PROJECT AUTHORIZATION FORM ~ 11 Publ c W ~ <br /> s <br /> ~ , <br /> City of Eugene <br /> <br /> ' 858 Pearl <br /> ~y ? ~ (541) 6820-5291401 <br /> ..I' <br /> Service ID: SID PB GL''% JC JE <br /> Project title: ~~-Q ~ ~~P~'~-`~ ~G~ r ~C <br /> (location wodc description) <br /> ~n ~ i h W A ~t oi~-c 1o r r?~ wog -~it_ <br /> Project manager /contact /private engineer: ~ v S ~ .S o ~'Y"1 <br /> I <br /> i PROJECT SCpPE: ~ ) <br /> 2 ~ 1 <br /> Paving: Bike lanes /paths: <br /> ~ (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ( Wastewater ~ i~ (iangrn) It Q lr 3tormwater (`"dtn) 22111 Landscaping <br /> i Mt C~ _I <br /> Signal Street lights ROW required <br /> ~ ' ~ T C;~{^-- ~ ~ Remodel <br /> New building cgnstruction Planning, other <br /> ' FUNDING SOURCES: <br /> City Assessments Private X Other department <br /> Account code <br /> fed /State / Cqunty /FAA fixed) <br /> 1 ~ ~ICOMMENTS / SPACIAL PROJECT INFO. / IN_ITERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ u~ ~X-k-ns1 of L~~ra ~-c-~ P ~~;z <br /> it '"i ~ ~ ~ fit ~ r - t V1/~i1,~ yV®I -~-2 ~ P X"1~/2SI CJ'''1-- <br /> I <br /> ~ APPROVED: <br /> Project Manager Date <br /> Principal Engineer _ Date <br /> i ~I Facilities Manager Date <br /> I ~ City Engineer ,~;,f ~ ~ Date i " <br /> i <br /> FOR USE BY ADMINISTRATION ONLY <br /> a / ~y y,~ y~L <br /> Capital Project.No. ~ ACK ~ ~(~~I `~'i"~`''~C / <br /> GL Title ~J~NC3V~ V (iC - <br /> c^ Q <br /> ! `~Assigne y _ Date 'r v <br /> I!, Accounting by Date <br /> i I <br /> ATTACHMENTS: <br /> I ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? 9DC Budget Worksheet Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order public Impr vement Permit Application ? Map <br /> "'File Request Form ~ ~ <br /> / ~.J <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />