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PROJECT AUTHORIZATION FORM Public Wor <br /> k <br /> City of Eugene <br /> V ~ C~~.~ ~ 244 E. Broadway <br /> ~~v~~` Eugene, OR 97401 <br /> Q (541) 682-5560 <br /> Service ID: 1 ~ SID" PB ~ GL _ JC ~JE _ <br /> Project title: l~ ~ Ir/i~~ ~~?f e~(~ ~/V~-y'~G? ~~~%(~~ii~- ~M.G~?I <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ I ~~~VDIA~ ~ ~11n C V~'~'1~ T~~/UV~~ ~ ~ <br /> PROJECT SCOPE; ~~if/~ j <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ~r'~" <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights RO required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ ~'oGC•(i~.G~dL 1 ~ • O (no}- }p b~er G~~.nneled •}in?rou>~I~ Ce~ <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> c0 <br /> APPROVED: <br /> Project Manage Date ~ ~ ~ ~ - <br /> Principal Engineer Date f l' 13 <br /> Facilities Manager Date <br /> City Engineer Date ~I''~~5 -~E.~ y <br /> //FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. •"I~5tg2 ACK 311 g33S kxxXX Q15142- <br /> GL Title ~'P~M-~y tGU <br /> Assigned by ~ GClyL~' Date <br /> Accounting by ~ L Date ~ ( <br /> ATTACHMENTS: <br /> <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 j~Map yh~ ~ <br /> C~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />