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PROJECT AUTHORIZATION FORM 1~"~` - Publ Works <br /> A City of Eugene <br /> 244 E. Broadway <br /> .`n~ Eugene, OR 97401 <br /> X aN (541) s82-5560 <br /> ~~~~Service ID: ~~D SIDY~ PB ~GL ~JC ~ JE _ <br /> <br /> ~Gp~` Project title: `L~h k~~ i ~a-i-~N) "I~ ~Itr~~'i.i7 <br /> fi I~Ei~'~~'~ ~'~'W`y1tT~~! <br /> , (IocaNon and w°rk desen Pion) <br /> Project manager /contact /private engineer. ~y~~ <br /> PROJECT SCOPE: <br /> Paving: cam/ Bike lanes /paths: f/ <br /> Concrete walks: Setback /Curbside <br /> ~ /1 <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~or» /33 933a (ol y35 9 7SD/~ <br /> City Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA (°~6, fixed) U <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: ~ <br /> s ~b-~'tla.G ~S fib P~ t~d~~ <br /> . <br /> APPROVED: ° <br /> Project Manag Date <br /> Principal Engineer Date 'ZR' <br /> Facilities Manager Date <br /> City Engineer Date ~~~1° ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. Q ~ 5 ~ AcK ~ 33 9 332 la ~xx 9 y ~rl 2~ <br /> GL Title ~3~ ~Ve ~U / D ~ D?ll~.~ <br /> Assigned y ~ Date <br /> Acxounting 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 /France YELLOW /Administration File PINK /Engineering File GOLDENROD / Proied Manager JANUARY 2000 <br /> <br />