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h, <br /> PROJECT AUTHORIZATION FORM Public Works <br /> ~ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> j d~J _ / , ~ ' / (541) 682.5560 <br /> Service ID: a -7 SID PB ~GL ~ JC r JE _ <br /> Project title: i4 ~ l J~~// ,w /'~~W z ^T~ '~3 <br /> ( nand work ! /TJ'~ ~!f'G/ W~ % I / ~/~G~~ <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: /~dm/ <br /> Concrete walks: Setback /Curbside <br /> prh) (wldfh) <br /> Sanitary sewer ~ ~ ~ of Storm sewer Landscaping <br /> Signal M~~.C~i?~'. Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> g~5 ~ r+/1+~ /'G1~.6 l~~sb/~" Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> /S S A di?7~i?vA o p N~! <br /> / / 6 ~ LV~f~ri <br /> Ccl~l' ~FS?wS <br /> APPROVED: <br /> Project Manager Date z7~~ <br /> Principal Engineer Date ~y ~ ~~id~ <br /> Facilities Manager Date <br /> City Enginee Date `r.LZ ~~3?. <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 2 ~ ~ ACK ~ 3 Z 9~3v2 ~ x-xXx q 4 S X35 <br /> GL Title ~"32 ~ <br /> `1'/ <br /> Assigned b Date <br /> Accounting by Date l~,/~/~ <br /> ATTACHMENTS: <br /> I~ Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> l' 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 /> <br /> ~ <br /> ' ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2D00 <br /> 09-23-03A09~43 RCVD <br /> <br />