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. G, , .n w <br /> s~ <br /> I PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> / / ~1\A 244 E. Broadway <br /> ~f'G• Jv~' ~ / , / ~ 541) 6820- <br /> 560401 <br /> tip`,,' ~ t)~ Service ID. SID_ PB _ GL~ JC _ JE _ <br /> <br /> ,~1u~>~~~ Project title: ~tM~/Stu ~ ; ~"0~ fin ~(p~~~ . t /~~~~~T ~~~~-T-vt~~ 4~.~ <br /> (location and wodc desc lion) <br /> 1 d~ <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> Oe~9rh) (widrn) <br /> Sanitary sewer Storm sewer Landscaping <br /> i <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: $ °f r ~O U 133 4,33.? ~ 17,3 S q 75"v~ ~ <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJ~~C~~T INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> 715 °~/~Ttc~r1 I~f%~It''g~ ~S `C~ ' l~-,v-c,«t'Tf~ ~Vr1r!~S ~3t'~.~,.,~ ~-y,~6 ~°f <br /> 1?~,u--nD . X (JD t`t t ~ tkt... ~Uhl~trl~- 1NIL~-- 13ffG- ~ckU~ ~ ~ ~ <br /> APPROVED: ~~YriI'1 ~ ! <br /> Project Manager Date Y+^I'1 <br /> Principal Engineer ~ Date ~ r <br /> Facilities Manager Date <br /> City Enginee Date G~i <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ `1 V ~ ACK ~ ~ 9~G fC ~ ~~J ~y <br /> ' GL Title ~ ~ <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 /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />