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~ ~ ~~ <br />PROJECT AUTHORIZATION FORM ~~~ ~~ Engineering <br />Public Works <br />ity of Eugene <br />~ 244 E. Broadway <br />~ , r ~ '~ ~ Eugene, OR 97401 <br />~ ~ ./ ~(, ~ (541) 682-5560 <br />Service ID: `~ ~ SID_ PB ~! GL~ JC~ JE~' <br />Project title: ~~s~ ~I~I ~ I~~G~S I ~ ~14'~IC ~ pf~~'7'Y ~ <br />(location and work description) <br />Project manager / contact / private engineer: ~~~~ ~~ S~~ ~- ~ _! / ~~ <br />PROJECT SCOPE: <br />Paving: ~ <br />Concrete walks: ~ <br />Sanitary sewer - <br />Signal ~°°~' <br />(length) (width) <br />Storm sewer `--^ <br />Street lights <br />New building construction Planning, other <br />FUNDING SOURCES: <br />City <br />Assessments <br />Private <br />Fed / State / County / FAA <br />Bike lanes / paths: <br />(widrn) <br />Setback / Curbside "-' <br />Landscaping ~~ ~ ~ ~ <br />ROW required <br />Remodel <br />Other department <br />Account code <br />( %, fixed) <br />' '<`ri~~ ~/~'l~~ tr,~ irlr~i~2.c ,JJ.lf~v'l%v~,> ~(~~~~'~~)~a ~f`/`I~i~`~' ~~/S~~i!2 <br />APPROVED: ~~ ~ ~ <br />Project Manager Date ,L /_ <br />principal Engine " ~~.f~ <br />Date ~O <br />r.,n. ~ ~.S} <br />F-ae~~~ies Date '~ ~ Z s f L? G~~ <br />~~~~~9~~ ! Date ~~ ~~ <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. `~ ~ ~~~ ~ ACK~~~ 1 ~~~ ~~~~. 6 ~ ~ ~~ ~ <br />GL Title `~ `~ ~~ ~ ~ ~~J~ ~ ~~_~~/ ~C <br />~ ~ ~ ~ ~ ~~~ <br />Assigned b ~ Date <br />Accounting by Date <br />~ACHMENTS: <br />Budget Estimate ^ Developer Agreement ^ Engineer's Report On Improvement Petition <br />f ^ 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 File GOLDENROD / Project Manager JANUARY2000 <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTI~N: <br />