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<br /> t. , <br /> PROJECT AUTHORIZATION FORM Public Wr'orks <br /> City of Eugene <br /> 11 244 E. Broadway <br /> ~~V Eugene, OR 97401 <br /> / ~ (541)682-5560 <br /> Service ID: ff Q SID_ PB_/ GL _ JC _ JE <br /> Project title: I' ~ r ~ yL° A l~e me n~' PreS e r t~C-~1 On <br /> ~ e`""~`d ~ h rtt M1 0 <br /> Project manager /contact /private engineer. ~e~ r~ t L i n (s m a ~ , <br /> PROJECT SCOPE: ~ ~ <br /> ~t w ~i ' <br /> Paving: ~T Bike lanes /paths: ; ~ <br /> l1 (wedtl'1 i <br /> Concrete walks: Setback /Curbside ~ j <br /> ~renpaq lw~) ~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required 'I <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> I I <br /> City ~ Assessments Private Other department ~ <br /> Account code <br /> Fed /State /County /FAA fisted) j <br /> COMMENTS /SPECIAL PROJECT. I . / INT EPARTMENT WORK DES RIPTION:. j <br /> r r' 'on s r ~ a <br /> u I ~h o r1. <br /> APPROVED: j <br /> ; <br /> Project Manager Date ~ <br /> Principal Engineer Date 7 ~ ~O4-~ <br /> Facilities Manager Date 7 <br /> City Engineer Date ~ ~ ~ <br /> FOR USE BY ADMINISTRATION-7ONLY c <br /> Capital Project No. ~ S 5 ACK ~ ~ J ~~~G ~x'~~C ~ ~ " <br /> i <br /> GL Title ' ~ ~ ~u ~'I <br /> ~I ~ j <br /> Assigned y Date l i <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement petiti~n j <br /> f ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Appl'~cation Map <br /> File Request Form <br /> ` ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> I. <br /> I~ <br /> <br />