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~=PROJECT AUTHORIZATION FORM Pubicwornks <br /> City of Eugene <br /> 244 E.Broa'dway <br /> Eugene, OR 97401 <br /> r (54 682-5560 <br /> /Service ID: ~ ~ ~ ~ g~ SID ~ PB ~ GL ~ JC ~ JE _ <br /> Project title: ~ ~ ~h Q ~ ~ 1~ ~ ~j ~ <br /> ~ (IocaGo and work description) <br /> t t~9'~' V~.IJ,C ~ !J`C' l PA E,I L A U,(e O R41 ~~z LD 1 N G~ <br /> Project manager./ contact /private engineer. <br /> j <br /> PROJECT SCOPE: <br /> pa ~ ~ ~ ~ Bike lanes /paths: <br /> (width) <br /> ~ Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer ®1 ~ ~ Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> 3 q 7s=i~ ~ - r 9, 72~ s~ ~ g~soa <br /> FUNDING SOU CES: ~ ~~735 (~1~35 <br /> ' City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~.~,;W~~. Tr pay s-r~>;~r~ u~~u. f~~:~~iF3.;( tc "i ~.~'s ~~~t~~ <br /> r~l'?~S~P~a.<~~~ w iw... ~~~t ~R 'C~ tJ~~ ck~. G~~c c.~5 <br /> f ~ W its' i.~C~rrt~ ~W.. 'us t ~ ~v~ ~ 1~~ S 16~ ~~K-S 1''6 >thlA~~# t~~i~ <br /> t.?L-~ cr.rA L~T1~ <br /> I <br /> APPROVED: <br /> ' Project Manager Date <br /> <br /> ~ Principal Engineer Date ~ ~ <br /> Facilities Manager Date <br /> City Engineer ~ Date z1'L3 <br /> l°? <br /> <br /> f <br /> FOR USE BY ADMINISTRATION ONLY /A'~~~~~ <br /> Capital Project No, ~3.5i 77` ACK ~ 3~a la XX~c X <br /> GL Title ~ ~A..C,~.~-.Er,~~ <br /> Assigned by Date 7` a`~ <br /> Accounting by Date ~7~0`3 <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 /> ~l File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />