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PROJECT AUTHORIZATION FORM .Engineering <br /> Public Works <br /> City of Eugene <br /> C~/~- `''r-~ 244 E. Broadway <br /> ~ ~ ~ ~ a- Eugene, OR 97401 <br /> Service ID: ' / J (541) 682-5560 <br /> SID PB _ GL _ JC _ JE _ <br /> Project title: i'Yf-r~ ~ ~~'/k~ ~-~fZ~j I'~~-~l~ ~I G,~.~d- <br /> (bcation arrd work desdiption) <br /> Project manager/contact /private engineer. ~~~~Z?" l1~' ~~~h.~ r~J <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widriis) (wklth) <br /> Concrete walks: Setback /Curbside <br /> penyrn) (w;d~) jRl~r~7N1C~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights OW required <br /> New buildin construction Plannin t <br /> ~J J~ <br /> 9 , o her F~emodel <br /> 9 <br /> FUNDING SOURCES: >NA , I dl <br /> C' Assessment <br /> ~Y s Private Other d rt <br /> e a ment <br /> y~ <br /> i~~~'(L1'~~ i!~/1'~~ ~q/.1,~~ ~G'Z Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> '~N~aC~~ ~'i~J~-r' ~~n~tJ try PTV ~a~~tc~~1s ~l~a~l-~~ <br /> ~ ' [r1 ~ ~ ~ P~ I b'/~-7"~- ~ 17t S t <br /> ~ r~ur~i~ x1C.~~1~ ~ <br /> APPROVED: <br /> Project Manager Date ~ <br /> Date d?~ <br /> o r ~ .nhuk <br /> Facilities Manager Date <br /> vlv5r~~ r Date__3~ <br /> a~-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9°zs°~'~a ACK 9.3.3 ~X~L`XX 9~5a3~. <br /> GL Title ~ E1~ ~ C~.S <br /> <br /> i <br /> Assigned by Date 3 ~ <br /> Accounting by l~ Date ~ ~ ~ ~ <br /> A ACHMENTS: <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 Rle GOLDENROD /Project Manager JANUARY 2000 <br /> ~~j ~l~ <br /> _ <br /> <br />