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fg_ <br /> <br /> Y_`••~ . 1 1 <br /> ` ~ PROJECT AUTHORIZATION FORM Publ c Wor 9 <br /> a f City of Eugene <br /> f ~f <br /> f ~ ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~ ~ ~ a ~ ~ (541) 682-5560 <br /> ''%~/'t~fr-' SID_ PB _ GL _ JC JE _ <br /> Service ID: <br /> Project title: '~~'t~` lc:--;~ V ~ ~ G.~~ ~,:r } <br /> (location and work description) <br /> Project manager /contact /private engineer: ~t 1='"-~=- I i`-°- ` ~s=->' <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: worn) <br /> (widrns) <br /> Concrete walks: Setback /Curbside <br /> (ien9tn) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other ~ Remodel <br /> FUNDING SOURCES: <br /> City ,ji" °`::1% ~'aC'~?G% Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> s n- - - <br /> ~ C" ~ I it f c ~ " 'C" ? ~ ~ . f j <br /> ~ ~ Y . <br /> ~ <br /> ~ I i ~ t ~ ~ ~ r . ~ ~ ~ F ,r, _ ~ i <br /> - I ~ r~ <br /> APPROVED: J <br /> ' <br /> Project Manager r, ' • ~ ~ ,i 1!~;" Date ~ ` <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~3~ <br /> Capital Project No. ~j~ ACK ~ ~ =j ~ <br /> GL Title ~~tK`k`.~ ~%ir ~T" <br /> ` Date 'f ~ ~ <br /> Assigned by <br /> r, 1 <br /> f I ,,,r ~ ' ( <br /> Accounting by ~ ~ ~ Date <br /> 1 <br /> i <br /> ATTACHMENTS: <br /> ~$udget Estimate- ~,?,~,I,E-'; ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> r ? 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 JANUARY 2000 <br /> <br />