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Engmeering <br /> PROJECT AUTHORIZATION FORM Fublicworks <br /> City of Eugene <br /> 244 E. Broadway <br /> f~ C~ ~ / : Eugene, OR 97401 <br /> ~J (541)682-5560 <br /> Service iD: ~ ~ / ` ~ ~ SID._ PB GL _ JC L <br /> Project title: ~00.3~ W, <br /> ~45~ Wi4 .~~jA6/J/~~ ~ ~£Cr ~ ~/~S <br /> (locah°n and work dascrp0~on) c! <br /> Project manager contact /private engineer. JG ~ / L <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (1 (width) <br /> Concrete walks: Setback /Curbside <br /> r~cth) rwidth~ <br /> Sanitary sewer J~00 Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other f Remodel <br /> FUNDING SOURCES: tICFIZ ~ f, n~'~ c~?~O !r'~m s~o'I- Cyr 7 3S 9~'SD/S" <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State 1 County /FAA fixed) <br /> COMMENTS / SPECIA4 PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ nrlty - <br /> ~ E <br /> ~E,o~i,r:, 5~.•~ur¢~L rD6-f~--Fns-~~~i,~ c,..~ i 6.?{t{ad ~~F lool 1~~F1~f i° <br /> APPROVED: r <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~/T ° <br /> a FOR USE BY ADMINIST~ZRATION ONLY ~ c~ <br /> Capital Project No. 1 O~~ ACK 5J ~ ~ ~~Z`~'~`xx~X r ~ <br /> GL Title ~ "'Q 11a,h 2~~5 ~ r ~~JQS~ S ' <br /> / 3 <br /> Assigned b 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 />