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r <br /> P, RCIJECT AUTHORIZATION FORM P <br /> ~ <br /> w~ <br /> 11 ~ City of Eugene <br /> 244 E Broadway <br /> Eugene, OR 97401 <br /> - / (541)682-5560 <br /> Service ID: ~ fi~ SID~L PB .~GL JC JE _ <br /> Projeclfitle: 20D'7~ Ge~sr,mu~i~1 rts~bt~,a~l~?1_ ~l/~,~ssmJS (yAsGOtc~ tA~{ieat <br /> (IocaB°n and nwk d~ooicn) <br /> Projecii manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (1 (wtdn~) <br /> Sanitary sewer .2~DiU ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building constn~ction '°"t?lanning, other Remodel <br /> FUNDING SOURCES: Jr.~o'Z~1`'~~ ~O• ~ ? <br /> City 3 Assess Private Other department <br /> ~00~ Account code <br /> Fed /State /County /FAA (°~6, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> / ft ,r/{7h/byj O i ~ is Wl~ac~ , <br /> rc ~ Gt/ W <br /> Wi` . ~ ~s <br /> o ,des s <br /> APPROVED: ` <br /> Project Manager Date C <br /> Principal Engineer Date <br /> <br /> N Fadlities Manager Date <br /> City Engineer Oate ~r z <br /> FOR USE BY ADMINISTRATION ON/ L~Y <br /> Capital Project No. ~ ~ ~S ACK ~ Q~~ i~X~~ ~ ~'`JZy' <br /> GL Title (Y1r1'1 u~~ ~ <br /> Date /z ~ o <br /> Assigned b <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 ~ /~/p s', /tfj?6r1 r~rs5 <br /> File Request Form / ~~''~T'~~ <br /> ENG 415 WHITE /Finance YELLOW / Administration File PINK / E Fil EN D / t jed Manager ,JANUARY 2000 <br /> - ~ 3~i~ : I~~ V D <br /> <br />