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_ <br /> . w. <br /> ~ti" ~ <br /> PROJECT AUTHORIZATION FORM r~ Engineering <br /> Public Works <br /> f <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ EA` <br /> Service ID: SID PB ~GLy JC ~E X541) 6820- <br /> 560401 <br /> i a.-- / <br /> Project title: `1 / ' ' ~ <br /> p 'nand work description) 1 ~ ~ <br /> Project manager contact /private engineer. / D ,Y: t~l ,c'~t1x-; <br /> ~ PROJECTS OPE: <br /> Paving: ~ ~ Bike lanes /paths: <br /> (widths) _ (width) <br /> ~ Concrete wal s: ~-Setbacl~/Curbside <br /> (ien9thJ Fr (width) <br /> Sanitary sew r Storm sewer ~ Landscaping <br /> ' ' ! Signal Street lights ~ ROW required <br /> New building nstruction Planning, other Remodel <br /> i ~ <br /> ~ FUNDING S RCES: <br /> City Assessments Private <br /> ~.1" Other department <br /> Account code <br /> Fed /State / ounty J FAA fixed) <br /> j <br /> ! ,COMMENTS / S ECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> APPROVED: r <br /> i Project Mana er ~,t~,rt • _ ~ Date ~ 1 c-~~ rJ <br /> ~ Principal Engi eer ~ ~ ~ ~J Date TAE--~ 5 <br /> Facilities Man ger Date J <br /> a' <br /> j City Engineer - - Date ' ' / r' - <br /> i <br /> FOR USE BY ADMINISTRATION ONLY ~2 <br /> Capftal Projec No. ~ ~ ~ ~ ~ ACK~~~ ~ J ~ f~~~C~G J r17~`~ Z <br /> GL Title ~ C <br /> ~ l..,t~'~ ~ V . <br /> J C! <br /> Assign d by Date ~ i <br /> Accounting by Date <br /> 'ATTACHMENTS: <br /> ? Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget W rksheet ,~,rEngineering Agreement ? Engineering Service Work Request <br /> ? Ity Engineer's nitiating Order ~I Public Improvement Permit Application ? Map <br /> File Request Fo m <br /> <br /> i ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> ' Ga <br /> <br />