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""PRQ~lECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~ City of Eugene <br /> ` ~ ~ . 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541) 682-5560 <br /> ServicelD: SID~PB~GL$~~ JC ~JE_ r <br /> Project title: ~ 1 ifZ Grp 2 ~ e c~ ~ ~ t ~',7t~tZR GC. e L ~c.+,-+.r~~ ~at.~....._ ia~,~ tom, ~y <br /> (location and work description) 'f <br /> Project manager /contact /private engineer: i w~ f r ~ ~ S <br /> PROJECT SCOPE: <br /> Pavin ~"~`r~''~- ~ Bike lanes /paths: <br /> g ~ (widrns) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> ~,f Account code <br /> Fed /State /County /FAA ~Q C~ r~ ~ ~/v ~a i a~ ~3s," ~ 92v fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> tt ~ ~ -y <br /> APPROVED: G~ ~ <br /> Project Manager ~ Date ~ <br /> Principal Engineer ~ 4~ ~ Date ~ ° ~ ~a~ <br /> Facilities Manager Date <br /> City Engineer ~ irf~~ ~ ~ Q t Date~Z"~ ~Cl ~ <br /> q~ FOR USE BY ADMINISTR~AjTION ONLY <br /> Capital Project No. r ~5 d ACK ~ ~ '7 ~~J ~~xX ~ "t j~ <br /> GL Title ~ ` ~ ~ t 'e.~ ~ ~l r'°1 Gl~ ~ ~ C <br /> i <br /> Assigned b Date ~ ~ ``5 <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 /> ? Ciry Engineer's Initiating Order ? Pub(ic Improvement Permit Application" ~ Map <br /> File Request Form - ` <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />