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~-~ ~ <br />PROJECT AUTHORIZATION FORM `~ ~ ~ Engineering <br />Public Works <br />Ciiy of Eugene <br />244 E. Broadway <br />~`~~ Eugene, OR 97401 <br />/' ~~ ~ ~ ~ (541) 682-5560 <br />Service ID: SID~ PB ~ GL .~. JC ~ JE ~~ <br />Project title: ~' I b~~ p~ ~~ <br />(locat~on and work description) <br />Project manager / contact / private engineer: t' ~0 ~0 P ~~ ~~ ~~~ "~.~~ I~i <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widlhs) (wrdth) <br />Concrete walks: <br />(IengtB) <br />Sanitary sewer <br />Signal <br />New building construction <br />Storm sewer <br />Street lights <br />(width) <br />Planning, other Pt~ 1d'~ ~~~r~ Remodel <br />FUNDING SOURCES: <br />City ~D ~~d Assessments Private Other department <br />p~~ S DC S Account code - <br />Fed / State / County / FAA <br />COMMENTS / SPECIA~ PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />3310 ~` 3 3~~ rxs ~ t~ Z - <br />( %, fixed) <br />,~ <br />, <br />~ <br />APPROVED: <br />PrQject Manage, _ <br />~ ;= g a'~[z ~ <br />Princ'i~ al ~ngin <br />Facilities Manager <br />r_~ <br />~~~~ ~ <br />r <br />~ Date ~ ` v ' O~ <br />:-'~~-~ Date %~ ~"-~,~~ ~c ° D 7 <br />-~~,~-- ~' Date ~ ' /s ' ° ~~ <br />'~~ Date ~ °_. ` --G~ ~ ~ <br />Accounting by <br />Date <br />ATTACHMENTS: <br />~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />t 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 / En~ineering File GOLDENROD / Project Manager JANUARY 2000 <br />Setback / Curbside <br />Landscaping <br />ROW required <br />~> <br />c;~ <br />~ <br />~a <br />c <br />~c~ <br />C; <br />~ <br />C; <br />