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I <br /> PROJECT AUTHORIZATION FORM ~ Publ c Wor <br /> s <br /> ~ City of Eugene <br /> ?y- ~ 244 E. Broadway <br /> ~ ~ © ~ C L Eugene, OR 97401 <br /> ~ ~ (541) 682-5560 <br /> Service ID: ~ fj ` ~ <br /> Project title: ~ " t ~ g~~~ ~ ~ ~ 1 ~ ~ ~ ~ -~-~j ( ) ~ <br /> (locat~~~ I ~ C'~/°n5n ~1 C1~i(L./ ~~t ~ <br /> `li'1f~ .7~'T~''~ ~ t K-+~ ~ Cpl C 1 <br /> Project manager /contact /private engineer: _ _ ~ <br /> ( ~1 ~ ~ ~ ~ ~P <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setbac •urbside <br /> f ( (length) (width) j j <br /> Sanitary sewer ~ ~ Storm sewer ~ <br /> ~ ~ ~ .Landscaping <br /> Signal Street lights ROW required <br /> S R-~' i _tf " <br /> New building construction Planning, other ~'i' ®1®' Remodel <br /> <br /> 'i <br /> FUNDING SOURCES: <br /> City Assessments Private ~ Other department <br /> <br /> E Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> I r-. <br /> <br /> i <br /> y j A ry f~ `n j ~ -g- y~ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date S ' d l <br /> FOR USE BY ADMIN,?ISTRATION ONLY <br /> Capital Project No. ACK C~J ~ f ~X~/` ~ <br /> GL Title ~lYY~6~ c~ ~,'~'C-~.~CnYI ld~.~112~°! <br /> Assigned by ~ ~ Date r '7 Q _ <br /> Accounting by Date <br /> ATTACHMENTS: ~ ~ , <br /> `l._. <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On I r~vq`rnent Petition <br /> ? SDC Budget Worksheet ngineering Agreement ? Engineering Service Wor equest <br /> ? City Engineer's Initiating Order Cublic Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager MARCH 1998 <br /> <br />