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'PROJECT UTHORIZATION FORM yyl ~ Engineering <br /> Public Works , <br /> ~ City of Eugene <br /> 244 E. Broadway ; <br /> ,~Q Eugene, OR 97401 <br /> (541)682-5560 <br /> i !Service ID: ~ SID, PB ~ GL ~ JC , JE <br /> tro ? l and • ra <br /> !;Project title: <br /> (hratkvr ndw°ni'del <br /> ect~, man~f~' ontact /private engineer: ~ P I V C- <br /> PROJECT SC PE: <br /> Paving: 11 Bike lanes /paths: <br /> Concrete walk : N ~ ~~A' ~r~ C~r,ti2r~ Setback /Curbside <br /> Wastewater Stormwater Landscaping , - ,~.~e <br /> ~ Signal + f Q- 5 ~ Street lights ROW required SS ~ b~~~_ , <br /> ''`'"P <br /> New building onstruction Planning, other 4 Remodel <br /> ~il~ X 333 rj'33o~- (0!799 I , 5~f tai.13S`~7S7a1.~ <br /> FUNDING SO RCES: ~ Imprt~• ~333g332 (~tZ3s'~bar4'71 ~13,~>a~f. <br /> City ~ ~ i Assessments Privat Other department 9335 ?4 4 QDSt <br /> ~4~ °b P Ir:, ~ ~S { Com ?r ~ ~ ~ 1 Rini <br /> onc+~ ~Q-k9~r+/ } Account code 3t,. 5/oS. cx <br /> Fed (State / ounty /FAA fixed} '~s 9v.S~ <br /> COMMENTS / S ECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: 435 <br /> ` ~ : ~ Gs,~,~a,... <br /> ~ a ` ~ r ` <br /> r o r <br /> ~>r+ 1, ~ i v~ <br /> APPROVED l~ <br /> Project Man gar Date ~ T <br /> Princi al En ineer Date 2Z " d <br /> P <br /> Facilities M agar Date - <br /> City Engine r Date ~ / ZZ 0 <br /> . <br /> OS IQ t'~ds ~t~i <br /> FOR SE BY ADMINI ggATIO ONLY <br /> j <br /> C <br /> Capital Proj No. ! "J~ ACK `~'°~'r Q55~Z? <br /> +h <br /> GL,-ale ~ F~-I I cu- - ' L n i <br /> Assigned Date <br /> Accounting by Date <br /> ATTACHMEN'~S: <br /> Budget Esti ~ ate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ~'SDC Budge Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engin is Initiating Order ? Public Improvement Permit Application ~ Map <br /> Request for coping Meeting <br /> ENG 415 j WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JL/L Y21A0? <br /> <br /> 1 <br /> <br />