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PROJECT AUTHORIZATION FORM Engineering <br /> / Public Works <br /> ~G' L' 5 S City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> q (541)682-5560 <br /> Service ID; //r/ .3 ~ SID ~ PB X GL X JC JE <br /> Project title: 1.--Q~ITZ~( ~~C~/J~1//lA ~~`Drm GL~iL~u <br /> Qocation and work ascription) <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: (width) <br /> Concrete walks: Setback /Curbside <br /> pengthj (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other X Remodei <br /> FUNDING SOURCES: ,S3 ~ 433a 9~,5oa~ ~ ,~/~rrf /Zeha-b <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ /GYM. GY>D <br /> <br /> l~'"" <br /> APPROVED: <br /> Project Manager Date <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ ~ 2 3 / <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project Na. 9iso ACK ~3~ 9~3a X~X 9~.~d~~ <br /> GL Title °~T~ u~l~/~t/ - C~ ~~Q~1/1/~l4 <br /> Assigned by Date ~ y <br /> Accounting by w Date ?L~,~~ <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 I <br /> r <br /> <br />