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<br /> 1 <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 1,V~ 244 E. Broadway <br /> V Eugene, OR 97401 <br /> / ~ Yt (5q1) 682-5560 <br /> Service ID: SID_ PB _ GLv_ JC _ JE _ <br /> Project title: I ~ ~ ~ ~e A ye me n-f ~~e S ~e r ~~-h <br /> on <br /> `'~~'r r 1 o G~ har~1 eM1-~or~ <br /> Project manager /contact /private engineer. Seuaa- ro( 1 ~ ~ /1 ~ S m a <br /> PROJECT SCOPE: ~1 ww ~ <br /> Paving: TT Bike lanes /paths: <br /> (s1 <br /> Concrete walks: Setback /Curbside <br /> r»~~ <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 1 . / INT EPARTMENT WORK DES RIPTION:. , <br /> ' r' on s r es <br /> 0 <br /> APPROVED: <br /> 4( ~ <br /> Project Manager Date <br /> Principal Engineer Date 7 ~ ~~4--- <br /> Facilities Manager Date ~ <br /> City Engineer Date y~>~~ <br /> ~J <br /> FOR USE BY ADMINISTRATION ONLY <br /> Q -7 C r o <br /> Capital Project No. S 5 ACK I q3~ 2 ~ " , <br /> GL Title ~ ~ ~ ~1u <br /> ~ <br /> ~Z ~ <br /> Assigned y 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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />