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PROJECT AUTHORIZATION FORM E"9i"~ri"g <br /> Public Works <br /> City of Eugene <br /> ~ ~ 244 E. Broadway <br /> • i tt~~_ / , Eugene, OR 97401 <br /> i ~ J V ~ ~ V (541) 682-5560 <br /> Service ID: , ; /J SID_ PB GL JC _ JE _ <br /> Project title: i~C~LI~- r~~ ~t~ l t~ ~ L ((l~ I ~s" <br /> (location and work description) <br /> Project manager /contact /private engineer: ~ ~~.~5 <br /> I <br /> PROJECT SCOPE: <br /> Paving: ~~~~r'~ ~1+~~-r1~lIL)(5' Bike lanes /paths: <br /> (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~y~~ ~5/~y ~~7~ ~p3 nn <br /> City Assess m~t~ ~ / 33 P~vate~ 75 /~y Otherr departure ~ ~ <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> ~ COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WO DESCRIPTION: <br /> ~S.r Cx~ fin//U i <br /> 5 l~U ~ Zd' 5 <br /> - <br /> i <br /> ' APPROVED: 1 <br /> ~,1 Project Manager ~ Date ~~Z > <br /> ~I Principal Engineer o i r h e Date ~~Z 7~0 ~ ~ <br /> C/~fi ~ LC " <br /> Facilities Manager Date r~ <br /> City Engineer Date 3 ~7 uZ N <br /> 0 <br /> Q <br /> M <br /> FOR USE BY ADMINISTRATION ONLY <br /> n r <br /> Capital ProjectNo. q3~2~~ ACK q3~~ l~X~xX 93.5ar7'J~' °r <br /> GL Title • ~ ~ I ~ <br /> c <br /> Assigned ~ Date / <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> <br /> i ` 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 Fil®(~GL~gEN~O~/ POj~r~~n~~ ~ O JANUARY 2000 <br /> <br />