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<br /> ' PROJECT AUTHORIZATION FORM .r~ Engineering <br /> i, Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> / ~ t ~ Eugene, OR 97401 <br /> ~C(! 1 (541) 682-5560 <br /> Service ID: ww SID_ PB - GL , JC _ JE <br /> Project title: dud F. t~~ ~aU cy?~l.>cst~rA ~ V,d mat ~ <br /> . <br /> (location and work descnphon) <br /> Project manager /contact /private engineer: ~~a~.. ! ~ i c', ~ i ~ <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> (widths) (win) <br /> Concrete walks: Setback /Curbside <br /> ,(~engrn) (widrn) <br /> Sanitary sewer i ~ Storm sewer i ~ c, t Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private." ~ '"Q~~ Other department <br /> ~,r Account code <br /> Fed /State Coun /FAA i~ ~ ~ ~ U " "~'Z 19 ~1w«~.~ ~ 1 (°lo, fixed) <br /> COMMENTS / SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> t, ~ A tie r~, c P ~ tit e~ x ~ ~ ~ t~ n r ? ~ ~-t-z, r ~i-, <br /> ~ F ~.~"!e.) wx ' ~ u A-ter J <br /> APPROVED: <br /> Project Manager ~ Date Z - <br /> ~ <br /> ~ -d <br /> Principal Engineer Date Z' ~ ~ <br /> Facilities Manager - Date <br /> City Engineer ,r Date ~ f ~ <br /> FO'R~,jUSE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ t ACK 33' Z ~ („R ~'J~ <br /> I <br /> GL Title~~t f1~ ' Y I`1 ~ E~' f"1 Li>~c3~ ~1t ~d <br /> 1 <br /> Assigne by Date ~ ' <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? peveloper 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 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 />