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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~1 244 E. Broadway <br /> Eugene, OR 97401 <br /> V H~ (541) 682-5560 <br /> Service ID: SID~PB ~GL JC ~L JE <br /> Project title: ~L~Llll'147~ n /?11e. GLVe m ~~L~ cerya'{"id~ <br /> ` of ~ ~ r i n r r .n <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: ~ <br /> Paving: 3~ Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (IBrgM) (wfdrh) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING S URCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT. I O. / 1 DEPARTMEy~AL WORK DESCRIPTION: <br /> r h' th t^~' - ~ r esp. <br /> "''l~! <br /> r rh r <br /> c <br /> U <br /> CY_ <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date 7 ~ 4 <br /> Facilities Manager Date <br /> City Engineer Date <br /> 0 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. QSSS~ ACK Q <br /> °3~ ~~Cx ~ JSS~ <br /> GL Title h <br /> Assigne by r Date ~ f <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ,(Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> DC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineers Initiating Order ? Public Improvement Permit Application Map <br /> File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />