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V <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Z ~ Eugene, OR 97401 <br /> Service ID: ~ ~ 1 ~ ? Y1 (541j 682-5560 <br /> SID_ PB _ GL JC . JE _ <br /> Project title: eP1 Gr V r~ 1" <br /> (IocaGo aesapnon) <br /> Q ~ w ' <br /> Project manager /contact /private engineer. e I.(~ l~ . ~ <br /> PROJECT SCOPE: / <br /> Paving: Bike lanes /paths: <br /> r"''~! (1 <br /> Concrete walks: Setback /Curbside <br /> r~~/ 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 /> Acx:ount code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> P r i on ~S Sion <br /> ` e S coin S <br /> n <br /> w~ <br /> APPROVED: r- <br /> T: <br /> Project Manager Date ~ <br /> Principal Engineer Date _ - ~ <br /> Facilities Manager Date ~ <br /> Ciry Engineer ~ Date 7l7 P4- i r" <br /> 0 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ 55 5 j ~ ACK i ~ Q ~~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 / Fnance YELLOW /Administration File PINK /Engineering Flle GOLDENROD /Project Manager JANUARY 2000 <br /> <br />