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,~' C~ ~-~- <br />s~ ~ <br />PROJECT AUTHORIZATION FORM ~~45~°`~ Engineering <br />Public Works <br />City of Eugene <br />244 E. Broadway <br />` Eugene, OR 97401 <br />Service ID: o~ / (541) 682-5560 <br />~~ SID_ PB~ GL~ JC ~ JE`~ <br />Projecttitle: _~~'~~~ -' _ ~ P~L(s <br />(lacation and work description) <br />Project manager / contact / private engineer. ~~ ~~~ P~~~~`~Z~ <br />PROJECT SCOPE: <br />Paving: Bike lanes / paths: <br />(widtns) (widrn) <br />Concrete walks: <br />pength) <br />Sanitary sewer <br />Storm sewer <br />(width) <br />Setback / Curbside <br />Landscaping <br />Signal Street lights ROW required <br />New building construction Planning, other ~~~< ~~~d Remodel <br />FUNDING SOURCES: <br />CitY $D00 O~ Assessments Private Other department <br />P~-K S ~GS Account code <br />Fed / State / County / FAA (%, fixed) <br />COMMENTS / SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br />~3l~ ~P33S ~`o,~t~z <br /> __ <br /> <br /> <br />APPROVED: <br />Project Manager <br />Principal Engineer <br /> <br />Facili ies Manager <br />~j~rK c~#v y~ <br />~Engineer <br /> <br />+ ~ ~ <br />. <br />m- Date <br />Date <br /> <br />Date <br />..~. <br />Date <br />- ~ ' ~OZ ° ~~ <br />~- y 2 ~' ' ~ ~' <br /> <br />'f- ' Z 2~ O 4 <br />~~ . <br /> <br />~- ~'n~ ~~.~ <br />~ ' l~ .,~4,~~( 5~ ~ ' <br />~ z 3 v ~ <br />"z- <br /> <br />Capital Project No. FOR USE BY <br />~~~~ v~ ADMINISTRATION ONLY <br />ACK _~3~ ~~3~ C~ JC. ~ 9_~, ~~~ <br />GL Title <br />Assignec <br />I Accounting by Date I <br />A'TTACHMENTS: <br />~ Budget Estimate ^ Developer Agreement ^ Engineer's Report On tmprovement Petition <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 File GOLDENROD / Project Manager JANUARY2000 <br />