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PROJECT AUTHORIZATION FORM ~ ~ Engineering <br /> Public Works <br /> , n~~ y„ , r_ L ~ ~ City of Eugene <br /> ~ v ~.u .V]~_ 244 E. Broadway <br /> Eugene, OR 97401 <br /> t~ (541)682-5560 <br /> Service ID: 4 ZZ ~ SID~PB ~ GL 1_ JC JE <br /> Project title: ~ o~#~ ~ ~ ~ G1,~ lam. ?7~l C~?a.~=a..~w, ~:+i a. Qc , <br /> (kcation cnptionl. <br /> Tp?2T\~ ~~c.6~.a,iTR~c.~1w~ - STt~- ABTA-t~r•'Ci..~ Hweue.P~-~v,~, <br /> Project manager /contact /private engineer. ~ ~ ~ c.w ~a,s r, J <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: ~ / <br /> Concrete walks: Setback /Curbside <br /> (1 f) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street tights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~/D~D~O ~"DS'~l- 333 933a ~ 3S gYSO N~ <br /> Ci <br /> a~+..s s~,Assessments Private Other department <br /> Account code <br /> Fed ! ~ A fixed) <br /> COMMENTS 1 SPECIAL PROJECT INFO. I INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~y dt¢ o~ j,. = C~ <br /> ~ 2 a d •z <br /> Su1~ Q ~S ~ ~ w.~n ooo~" <br /> APPROVED: <br /> Project Manager ~ ~ Date~~-"+- ~`"1~,~aa4r <br /> Principal Engineer Date 5'~.~-'~~' <br /> Facilities Manager Date <br /> City Engineer...; ~ Date ~ ~ t ~ <br /> FOR USE BY ADMINISTRATION ONLY ~.yt <br /> 7 ~oK <br /> ~`J^JrD oZ ACK a33 933a ~oXXXX 955Dfj~~ Ox~Cf 31.'l <br /> Capital ProjectQNo,,., Q 1 1 <br /> G L Title ~ l h ~J~-. ~ ~ b~ f~.d ~ O~ ~ <br /> v <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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK I Engineering Rte GOLDENROD /Project Manager JANUARY 2000 <br /> <br />