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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ` City of Eugene <br /> 1lV~ 244 E. Broadway I, <br /> V Eugene, OR 974t}i <br /> YR (541) 682-5560 <br /> Service ID: SID_ PB GL - JC _ JE _ <br /> Project title: ->I I ~ ~ Uc A ye rn n->~ ~re~ ~e r ~.-~-ion <br /> ~ <br /> _ rnm~,r j '~o har~el->~oM11 <br /> Project manager /contact /private engineer.. ~~~-t.a0.1"~ M ~ i n (s 1'Y1G~, <br /> r <br /> PROJECT SCOPE: ~~II ~ <br /> Paving: ~'T Bike lanes /paths: <br /> (wwrhs) (width) <br /> Concrete walks: Setback /Curbside <br /> (1 (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 /> Account code <br /> Fed /State /County /FAA fixed) . <br /> COMMENTS /SPECIAL PROJECT. I . / INT EPARTMENT WORK DES RIPTION:. <br /> r r' "on s I^ eS . <br /> u I' ~o <br /> n. <br /> APPROVED: \ <br /> Project Manager Date ~~L ~ <br /> Principal Engineer Date -7 ~O'4~-- <br /> Facilities Manager Date <r <br /> City Engineer ~ Date <br /> c~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> ~2 / _ <br /> Capital Project No. ~ 5 5~~ ACK ~ ~ J 9~~ Z (.l~~DC~C `I ~~S ~ , <br /> GL Title ~ ~ ~ ~1u <br /> Assigned y o Date <br /> Accounting by 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 /> File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />