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JECT AUTHORIZATION FORM ~~j ~ Engineering <br /> Public Works <br /> City of Eugene <br /> ~1 / , / `~Q` Eugene, OR 97401 <br /> i'~S , / , / f~ ' (541) 682-5560 <br /> ~ ervice ID: SID_. PB - GL~JC _ JE _ <br /> Project title: ~~Ib1 Pvl~ ~ rz~t-'~~~y 1~(~~~9i ~~'~1~=~z•~T Tfi~~,~,~~1 <br /> <br /> ~p ~.~~,,<< , <br /> Project manager /contact /private engineer. <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (mil <br /> Concrete walks: Setback /Curbside <br /> (ten~+1 (widfl,) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: ~K ~ /33 933 ~ ~ / 73S' q 7 Sa ~ o <br /> City Assessments Private Other department v <br /> Acxount code <br /> Fed /State /County /FAA ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPA TMENTAL WORK DESCRIPTION: ~ <br /> ~ ~ ~s ~ '~i*~fjS 'h ~u.~i ~ Q <br /> M <br /> ~ O <br /> b <br /> O <br /> APPROVED: ~ <br /> Project Manager Date <br /> Principal Engineer Date 5~ "d T <br /> Facilities Manager Date <br /> City Engineer• Dateft~l~'4-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ " ~ I ACK I ~ J '1 ~32 fiC ~C q~ J~'~ <br /> GL Title PP ~-~'D+h PyL (~r I Q?'d ~ ll~ ~ ~ ~ lLlVI~ <br /> Assigned Date <br /> Accounting y 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 Rle GOLDENROD /Project Manager JANUARY 2000 <br /> <br />