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V ,V <br /> <br /> . PROJECT AUTHORIZATION FORM ~ Public Wornfcs <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ (541)682-5560 <br /> Service ID: ""rZ--~~ - SID PB ~GL .L JC JE~ <br /> Project title: ~zj--~M <br /> (IOeaBon and work desarpfan) <br /> Project manager /contact /private engineer. k 1 t`.!^ ~ <br /> tlb ~ <br /> PROJECT SCOPE: It.(VflSt~l~. ~P~c~S ~-µ0~~t"' 1~b RE~1~xF.T~4TtQ!lJ ~I6RfL <br /> UI,IC~R„'tkl{~..) ~l lZ'N- C-3i..M s u.•~ F~U.t•L~~ , <br /> Paving: rte/ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> f) (w~1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: !~~33~~qqK' o~ p~Sa~ ~f 799 <br /> City AsseS~smcnts S B / ,qG ~ ~ Pn'vate Other department <br /> Acx;ount code <br /> Fed /State /County / FAA ~ ~ ~Lm l~ ( fixed}` <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> '~+L.3 GrJ h.1 `V t r~ TA.~C.K ~.aL P~SFS f•O R. ~R~'YiA1~6 ~,j~_Ar"[" <br /> D~~ PE~tJO~ °~~1r'1' 15 ~I..tdbc~D ~1/6'TIT ~ 's C.LI 1'~..11.~~5 <br /> 'r_i <br /> c <br /> APPROVED: ; : <br /> Project Manager ~ ~ Date 4 ~ ` d _ <br /> Principal Engineer Date <br /> Facilities Manager Date 220 ~ . ~ <br /> ' <br /> City Engineer Date <br /> i <br /> j <br /> FO~yR USE BY ADMIN R~A~jON ONLY <br /> Capital Project No. ~ / ~ ACK ~ l~1 7 ~t~ <br /> Assigne y 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 />