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<br /> ....•is <br /> PROJECT AUTHORIZATION FORM Engineering <br /> ! Public Works <br /> a <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ' ~ (541) 682-5560 <br /> Service ID: ~ ~ SID ~ PB = GL - JC JE ~ ` <br /> Project title: ~c G.~L~~~ ~ ~ ~ ~p~- I ~ r 4 t..~ s <br /> _.~location and work description) <br /> Project manager /contact /private engineer " ~ i', r t <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (widtn) <br /> Concrete walks: r.-: Setback /Curbside <br /> penarnl l~drn/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction !?!,a[1pj,p,~,%othe~ ~°ti + Remodel <br /> FUNDING SOURCES: - !-f~ ~ ~ ~"9 ~ <br /> E <br /> City Assessments Private Other.~~t3ulett J <br /> _ Account code <br /> Fe f Sta County /FAA ~ <br /> ~ ~ ~ (e ~C ~ (%(fixed) <br /> .~.a__- <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~'.~~e, q ..j1 c,.r ~ , c4 ~ v r Pb <br /> APPROVED: { - ~ f ~ P ?7 <br /> Project Manager Date <br /> ` ~ 2., <br /> Principal Engineer Date ~ ;~C <br /> Facilities Manager ~ Date <br /> City Engineer 4 r~ ~`y ~ - Date ~ `f l <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 'i = ~%~t ..n ACK ~ / '?~..a> /s X x * ~ ~ ~ ~ <br /> GLTitle y-.c'+ k' 1'f ~-f .f; / v~~t. t 1 ~ tr, r. f, ~~t, <br /> Assigned by ~~1:-~~-~Jrr~ JK-f`t r Date ~ " ~ <br /> i. t <br /> 71 , <br /> Accounting by , 4 i. t ~ r Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? ,jngineering Service Work Request <br /> ?,~ity 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 /> ~v (.inn ~ ~~a~ <br /> - - - - _ , <br /> <br />