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Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> V~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> / 1~ (541) 682-5560 <br /> Service ID:- ~-ZOq SID_ PB ? GL JC ~ JE _ <br /> Project title: t.° V° r1 Gr' V r~% 1" <br /> Q ~ ~ <br /> Project manager /contact /private engineer. L° Ltd 1~ . ~ ' <br /> PROJECT SCOPE: ~ <br /> Paving: Bike lanes /paths: <br /> rte/ <br /> Concrete walks: Setback /Curbside <br /> (length) (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 Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> '_7_' ~ ilDur,OnSe r iS D r r ~a o~ rS it S?gr1- <br /> ` G S Co,n S n <br /> APPROVED: 2 <br /> Project Manager Date ~ U~- <br /> Principal Engineer Date - - ~ <br /> Facilities Manager Date <br /> City Engineer Date 7l7 ~ o <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 55 5 i ~ ACK i ~ Q xaCx X ~ <br /> GL Title ~ ~ ~ ~ ~ <br /> Assigned Date <br /> Accounting y Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer 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 /> <br /> ~~ile Request Form <br /> ENG 415 WHITE / Rnance YELLOW /Administration File PINK !Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />