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<br /> c <br /> ~ ~ <br /> Engineering <br /> PROJECT AUTHORIZATION FORM Pt,~,~ wow <br /> City of Etrgene <br /> 244 E. Broadway <br /> ! t Eugene, OR 97401 <br /> Servrce ID:_~~7i'S SID ~ PB ~ GL ~ JC ~JE <br /> Project tide: _UUN.~A'NA ~Tl ~ . ~ S'f(~t - ~~''~11 ' ~WI ji~ ~`~'S" <br /> (roeaBa, ind Nak 1 <br /> Project manager /contact /private engineer.. ~ N/~ r``~(~a;~1.~"~Nw4 ~>GT. S ivy <br /> PROJECT SCOPE: <br /> Paving: / Bike lanes /paths: ~ <br /> Concrete walks: Setback /Curbside <br /> rll.l% <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street fights ROW required ~ - . <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: .~~~9.3.3j1 <br /> City ~ Assessments Private Oilier department <br /> Axount code <br /> Fed /State /County /FAA (96, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~'r{cs Pr~~~r wu.~. ~i0 'ii-k~. ~T~wt ~t~ti~ldt-~ S~'l.`,,~'~N~t T~ S~tc~ 1~1~- <br /> t- r.~ k I~r[. Igo ctivV~ <br /> /~srs~~ of `7 n ~r a~,c. ~ ~ <br /> u ~ ~ 1 I. <br /> F <br /> APPROVED: 3~y~„ <br /> Project Manager ~ Date <br /> Principal Engineer ~ Date ` <br /> Facilities Manager Date- <br /> City Engineer Date ~ ~y <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g3smlolo ACK 3~S 933a to x1~XX g3sa~~ <br /> GL Tide ~ W / ~'S'~' y'~ ~.~~ua . <br /> Assigned by Date of'3'~ <br /> Accounting by Date 'Z~~d3 <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 FAe GOLDENROD /Project Manager JANUARY 2000 <br /> <br />