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<br /> I .~4--~-~+~'wrtie..;,w .,w~,.«as;?°.v..~.;y~'~~''~s•.-,,~ ;r",w'^_` w~.a.ro... v.. ~ -rr.. r <br /> ` PROJECT AUTHORIZATION FORM ~ ~ ~ Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> Service ID: ~ ~ (541) 682-5560 <br /> <br /> ~ SID_PB GL`'f JC~ JE <br /> Project title: <br /> (bcatio and work des ription) <br /> 1 Project manager contact /private engineer: ~ ~ r <br /> i <br /> l <br /> j PROJECTS OPE: <br /> a <br /> Paving: Bike lanes /paths: <br /> (widths) (w~h) <br /> Concrete wal Setback /Curbside <br /> / ~ (ien9th) (width) <br /> Sanitary sewe Q Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building onstruction Planning, other Remodel <br /> ~ FUNDING SO RCES: f <br /> City Assessments Private (c~ Other department <br /> Account code <br /> Fed /State / C unty /FAA fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> I <br /> ~ f <br /> APPROVED: <br /> Project Mana r Date ~ ~ Z ~ " <br /> Principal Engi eer Date <br /> Facilities Man get Date <br /> City Engineer Date ' ' <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~~y-~~`~~~~~~ ~ ~,I 'f~' 1 C.~,x.~'Xs~' .~~'.~,I~~~,~'t~ <br /> Capital Projec No. ACK %C ~ ~ / <br /> GL Title 1("..(' >L ~ f l/ { I ~ C(~ , ~ ~ ~.J <br /> r° ,l ,J`,' ~ f <br /> Assi ne <br /> C~i <br /> 9 Y (Lr <br /> Date <br /> . <br /> i ~ <br /> l <br /> Accounting <br /> yb Date <br /> 1, <br /> ATTACHMENTS: <br /> Budget Estimat ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget W rksheet ngineering Agreement ? Engineering Service Work Request <br /> City Engineer's I itiating Order ublic Improvement Permit Application ? Map <br /> ? File Request Fo m f / t ; <br /> EENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 I <br /> <br />