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PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> q City of Eugene <br /> -\n~ Eugene, OR 97401 <br /> ~\~~~Service lD: ~ ? ~ ~ ~N I~t) x-5560 <br /> SID PB GL _ JC _~,~JE~~_ <br /> <br /> ~Gp~ Project title: ~ • i~a-'~-b~ ~ ~ . I~Ei~rL1 '~W`vd"~l~n! <br /> , (locaa~on and wnrrc ) <br /> Project manager /contact !private engineer. _ ~~~=+w~ t'~/ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: rte/ <br /> Concrete walks: Setback /Curbside <br /> ~ !i <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction c~P~anning, other Remodel <br /> FUNDING SOURCES: ~S~ Turn /33 933a X017.35 ~ 750/w <br /> City Assessments Private Other department <br /> Account code o <br /> Fed /State /County /FAA (°k, fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> S ~bTla•D ~S fib i~~~4i <br /> , ~7 <br /> 1 <br /> ivl <br /> 0 <br /> APPROVED: ° <br /> .l Z~ <br /> Project Manag Date Y$ <br /> Principal Engineer Date 5'Zp' <br /> Facilities Manager Date <br /> City Engineer Date 1. j~f° ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK ~ 'J3 -1332 u 7(~CSCX ~ `t~- / 2't"~ <br /> GL Title ~ 3'~ ve /-~-o D - 0+1~ <br /> 1 / <br /> Assigned y Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? E.ngineer`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 ! Finatxe YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />