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- ~r <br /> P~iOJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> r7 j~ ~ (541) 682-5560 <br /> Service ID: ~ / t.' 7 SID PB ~ GL ~ JC JE <br /> Project title: ~""'~'~+~1T ~ ~ <br /> (krcation and work description) <br /> Project manager /contact /private engineer: ~ C~ U I ~ k=r.~ 1 <br /> ~G K, <br /> PROJECT SCOPE: ~ /.~~„K ~ M~'~-0\I <br /> Paving: Bike lanes /paths: (widrn) <br /> Concrete walks: Setback /Curbside <br /> nenyrn) (widrn) <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 /> ~ Account code j :i <br /> Fed /State /County /FAA fixed) <br /> COM NTS /SPECIAL ROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> P11 ' . ~ r.' ~ L''• <br /> APPROVED: q <br /> Project Manager ~ Date -1 ~ ~ ~ <br /> Principal Engineer + ; J„ ~ Date ~;j ~ LT. <br /> Facilities Manager Date <br /> City Engineer ~ ' ~ Date ~ j H /T~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Lf.:'r~~ o~ ACK ~?.1 ~ 3 3 5 x X ~ ~ r~/ ~ i~ <br /> Capital Project No. <br /> GL Title f <br /> ~~U ~ rt`t.t l")t~r~ <br /> I <br /> Assigned by .~'~y.. ya~.~. Date ~~~~f~-'~) <br /> Accounting by r ~ 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 /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />