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PROJECT AUTHORIZATION FORM ~ PublcWorks <br /> _ City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ? / / / (541)682-5560 <br /> Service ID: ~7~d ` SID_? PS GL f JC JE _ <br /> Project title: ~ ~ f ~ ~ l~- <br /> (kw~tion and work description) <br /> Project manager /contact /private engineer: ~ OE, i ~ f?G - _ <br /> PROJECT SCOPE: ~t< ~ M~~t?~ ~Q <br /> Paving: Bike lanes /paths: <br /> (widths) (wrdthj <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 /> Account code G 14 Z <br /> Fed /State /County /FAA { fixed) <br /> COM NTS /SPECIAL OJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION; <br /> c r - 5 <br /> APPROVED: <br /> Project Manager n n Date ~ g ~ ~ <br /> Principal Engineer~4esE,~..C,~Q..c-C~"~ Date~~~'" <br /> Facilities Manager Date <br /> City Engineer Date 7 ? <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~~Sl ~a' ACK 3Z ! ~ 3 3 5 ,K ~X-~~X 9~ s !`{'a' <br /> GL Title M"L(J rr°~t Per <br /> Assigned by ` ~ Date ~LU <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 /> F ? Gify 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 /> L <br /> <br />