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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~Q~ Eugene, OR 97401 <br /> ~ ~ ~ ~ ~ (541) 682-5560 <br /> Service ID: '"f ~ ~ ~ SID ~PB GL ! JC ! JE <br /> ~ <br /> Project title: M~~Z~ ~ A I <br /> Ea22~,c[A-~/ ~,n~,r~., ~',~v[S 1 i q ~ ieN CCy <br /> (locatbn end N+ork description) <br /> Project manager /contact /private engineer. ~ c.1~cY'C~" ~ ~ er'r ~v <br /> PROJECT SCOPE: Rtq;orn0. (~1 <br /> v~w~b i~? ~U I C,O r~ e~- ~?'~.5 'i"o S~°U~ <br /> ~ve~o ~ Wp~~e~Zc,~Ay ~4Zc~bv>~~ iO N ~~atnS Bike lanes /paths: <br /> r ~ ~ r~ <br /> Concrete walks: Setback /Curbside <br /> (lenarn) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: xFQ' SU K F'iQ-0M Sal 933a / 9 OSD~j(o <br /> tHr <br /> City ? Assessments ~ Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> s:~ <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: .r---~~ <br /> A tfi~\ re._,I~S N i A _~'1a S ~af~ ('f~ ~ C (e Crz.~_ ( J t~J ~~I ~ Utlo~ ~ 1 wl p i Wzv~ <br /> Q./`0. /OIN C t J ¢~C ~2.Y'`v.! q ~ I <br /> P" 6 O K ~ ~ ca <br /> I <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date ` ~ <br /> Facilities Manag Date <br /> City Engineer Date ~'2-2 <br /> ~4- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~SI ACK 53) a33~ ~/XX!!x q~sl~0' <br /> GL Title S T M t~.~-?- Prv <br /> Assigne by c Date ~ ~G ` <br /> Accounting by Date <br /> A CHMENTS: <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 />