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~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> J.'py ~O`, ` Eu~ ORd97401 <br /> . / ~ ~ (541)682-5560 <br /> <br /> ~ try^Service ID: ~ ~ jj SID_ PB p_ GLV_ JC _ JE _ <br /> ~~~,jp,Project title: ~ ' ~O~L 7a "G~~~ f A?~'N~'rtT f ~~'~~tr~ <br /> y /acacon aye »odr aesc,,,raon/ <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> (>~1 /wtda~/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> n <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~ BOO X33 A33~? to l 73 S Q 7S0) ~ <br /> City Assessments Private Other department <br /> Axount code ~ <br /> Fed /State /County /FAA j g~~ faced) ~ <br /> n <br /> COMMENTS /SPECIAL PROJ T INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: I <br /> ~~~1~r~ F~ Li `Y'a ~r~ mat-~Tf- ~vr~~S T~ ~E~ I~ <br /> 1!'~t.rnd ~ 14-AD ~Tl«^~-,~,, ~tJ~~t~~ UV t~-t- Fes- ~C3~t1~~D ~s r.~-O~~P o <br /> APPROVED: <br /> Project Manager - Date ~ <br /> Principal Engineer Date ~-L ~ <br /> Facilities Manager Date <br /> City Engineer Date - ~ fay <br /> FOR/+?USE BY ADMINISr~TRATIONr~ ONLY (~1! <br /> Capital Project No. _1 ~ S~ y ~ ACK ~ ~ 9~G ~J~~~'C1C -1 "r ~J ~U~ <br /> n r- <br /> GLTitle ~1~r ~~1~ ~ b~ - 4(y~ <br /> Assigned 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 /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />