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~~ ~ <br />PROJECT AUTHORIZATION FORM ,,,........-- Engineering <br />s~ Public Works <br />City of Eugene <br />244 E. Broadway <br />Eugene, OR 97401 <br />~ ~ ) ~ ./ (541) 682-5560 <br />Service ID: 0 SID~PB ~GL ~! JC _ JE ~ <br />Project title: _ ~ `'1-~ ~ ~~:~.5 .". 9 ) ~"t7~~,8~sF- ~l~ ~t~.. ~-~ t~ <br />(location and work desaiption) <br />Project manager` contact / private engineer: ~j' ~~-- ~~ ~~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widths) (width) <br />Concrete walks: <br />(length) <br />(width) <br />Setback / Curbside <br />Sanitary sewer Storm sewer <br />Landscaping <br />Signal Street lights -~-- ROW required <br />i~~=tl~.:~`~~ . <br />New building construction Planning, other ~~~+sa:yc~w r~~}'Remodel <br />FUNDING SOURCES: <br />City <br />Assessments Private <br />Other department <br />~ <br />~~ <br />~~ <br />Date c ~ ~~~~ ~ <br />Date ~"°~ ~ ~ ~' ~~ <br />Date ~ ~` (}. ~~i <br />Date ~ ' ~-- ~'~~ <br /> _ <br />~~ <br />APPROVED: <br />~roj ct M a er_ <br />. ~. <br />~~ ' <br />an ger <br />~~~- <br />FOR USE BY ADMINISTRATION ONLY <br />Capital Project No. ~v! ~j ~ ~ ~ ACK ~ ~ ~ ~3~ ~bCSC-`=~- ~~ ~ ~~~ <br />GL Title ° `°~~ S ~~ ~~~~ ~ ~~ ~ ~ C_~ ~ ~('~ ~'1 ~~f.~E°2'"'~ <br />by <br />Date ~~r ~"~ <br />Date <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 PermitApplication ^ Map <br />^ File Request Form <br />ENG 415 WHITE / Finance YELLOW / Administration File PINK / Engineering File GOLDENROD / Project Manager JANUARY 2000 <br />~.~ -~~~2.~ <br />. <br />_ _ _ _ _ <br />d Account code <br />Fed State County / FAA ! ~ ~ ~ ( %, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />