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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ~~'y~ SID_ PB" GL _/JC _ JE _ <br /> Project title: ~~.=r ~~'c~'? ~~.a1' ~%1 ~ C C <br /> i ~ll~i i~~l E-'''f'~ ~{-.~t~ ~ i~i, <br /> (IOCatlon and work description) <br /> Project manager /contact /private engineer: N~' lr t {~f <br /> ~ <br /> ~Y / <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> widths width <br /> ( ~ ( ) <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: ~o2I ~~~~°`7 <br /> City 7 Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: ~ , <br /> Project Manager Date ~"G' L%i' <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date ~ 5' Do <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ ~ ACK ~ 3`3$ Xx X X X 9!5 ! 5~~. <br /> GL Title ?v ~ /-t ~C~n t <br /> Assigned by Date - <br /> !r <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 /> ? 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 <br /> <br /> • <br /> <br />