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Engineering <br /> PROJECT AUTHORIZATION FORM Public works <br /> <br /> a <br /> City of Eugene <br /> 244 E. Broadway <br /> . C~ ~ ~ Eugene, OR 97401 <br /> ~,4 J (541)682-5560 <br /> Service ID. ` - / / ' / ` ~SID_ PB - GL _ JC L <br /> Project title: ,2003 W~S7~ W~~2 ~J A~7/,/1~v4~~ /Qo~1£~T ~ ~i"~S <br /> (location and work description! <br /> Project manager contact /private engineer. ~G ~ ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> cw~~ <br /> Concrete walks: Setback /Curbside <br /> (ienc~l (width! <br /> Sanitary sewer ~'y"• Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S?OURCES: xF/L ~ 5~~ (1'/ 7 3S 9~so~s' <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> tsar <br /> ~ e? <br /> ~E~PA;,n, 5~..•~~,~.kL rDe~-- s~~.~_~,4s,~ i ~/~F 1on1~~F~1 t° <br /> APPROVED: r <br /> Project Manager Date ~ ~ r <br /> Principal Engineer Date <br /> Facilities Manager Date _ <br /> City Engineer Date ~'7~~ ~ <br /> a FOR USE BY ADMINIST2RATION ~1ONLY c <br /> Capital Project No. l ~ ~ O~~ ACK ~J ~ r ~ J~~r "`xxxX r ~ <br /> GL Title ~ 2enah Zoos D ~ t~~s~ s <br /> -r <br /> Assigned b t Date ~ <br /> Accounting by Date A' <br /> ~_J <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? Ciry 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 />