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<br /> • ~'C_-~. <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~4~ City of Eugene <br /> ~1 244 E. Broadway <br /> / ~ ` l v Eugene, OR 97401 <br /> Service ID: ~ SID'V_/PB _ GL JC ~L JE~~ ~~1) 682-5560 <br /> Projecttftle: G(,lli~4 n Ue. GLUE I'1'1~ esery~-f•ior~ <br /> ~ ~ ri ~ n rr .n <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: ~ <br /> Paving: 3~ Bike lanes /paths: <br /> (1 (width) <br /> Concrete walks: Setback /Curbside <br /> (iencuq (1 <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. / IN DEPARTME AL WORK DESCRIPTION: <br /> r r <br /> c ' <br /> U <br /> APPROVED: ~J~,,~ <br /> Project Manager Date r <br /> Principal Engineer Date 7 ~ <br /> Facilities Manager Date <br /> City Engineer Date .7~ ~ ~ <br /> t~ <br /> i <br /> r- <br /> c <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~`7 ACK ~3~ "t~~ ~d~~Cx ~ JS~ <br /> GL Title n <br /> Assigne by c Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition <br /> DC 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 />