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~ / <br />~i~ <br />PROJECT AUTHORIZATION FORM ~--~-~1 Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ ~ / / ~ ~ (541) 682-5560 <br />Service ID: SID_ PB _ GL~~ JC~ JE _ <br />Project titie: ~~~ `~-~ /~vL' ~ii.Q ~/~~°T-~~L.~/~~C.~~ <br />(location and ~ork desc6piio: ) / s . n • .~ n s , ~ .. <br />Project manager / contact / private engineer: /Pi'.~ ~~'' /~°'/~> ~- <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />~W;drns) ~^ ~ ~W;drn~ <br />Concrete walks: ~) etb / Curbside <br />9e'~length) (width) r /0 <br />Sanitary sewer ~ Storm sewer /~~ Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other Remodel <br />FUNDING SOURCES: <br />City Assessments Private_~, Other department <br />Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~ <br />APPROVED: ~ " <br />Project Manager ~ Date <br />Principal Enginee Date <br />Facilities Manager Date <br />City Engineer ~ ~ Date ~ ~' ~ ~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. 3~ ~~~ S ACK ~~~ q~~I Cp x xx ~z ~~1 L1 ~I y~ <br />GL Title ~~~ ~ 5 ~' ~$"~~~ L l~.1 ~ ° ~ .~J~ ~ _~__ _ <br />Assigned <br />Accounting <br />Date ~ / ~~~ <br />Date <br />ATTACHM ENTS: <br />^ Budget Estimate ^ D veloper Agreement ^ Engineer's Report On Improvement Petition <br />^ SDC Budget Worksheet ~E~ineering Agreement ^ Engineering Service Work Request <br />^ City Engineer's Initiating Order C'~Public Improvement Permit Application ^ Map <br />^ File Request Form <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUARY 2000 <br />~ ~~~ ~~ <br />_ <br />0 <br />~s~ <br />I <br />.', <br />c~ <br />o~ <br />_~ <br />i.ri <br />,,;,, <br />ti <br />