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"PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> - ` City of Eugene <br /> j V ,~;r~, 244 E. Broadway <br /> (~l~jrT ~.=..H - Eugene, OR 97401 <br /> N, } j (541) 682-5560 <br /> Service ID: J / SID ~ PB GL `1 JC ~ JE ~ <br /> ' Project title: .,,?1"" ~ N N~= ~ G~"~' ~`'~~r~'rt'.~4'- <br /> (location and work description) I ' ~ s~~ <br /> Project manager /contact /private e/I <br /> /ngineer: (N7 ~ ~v'C'~ ( C.K. ~1(J,6. y Gfj~ . <br /> PROJECT SCOPE: <br /> Paving:` Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> ' (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> i <br /> New building construction Planning, other ~ Remodel <br /> <br /> ' FUNDING URCES: <br /> City ~ Assessments Private Other department <br /> C~/ O©8 Account code <br /> Fed /State /County /FAA fixed) <br /> CO MENTS ! SPECIAL P <br /> ~IOJJ~ECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> v~'cG~C' l~T~~ ~ Ski N ~ ~ ~ ~ N <br /> ''t~G~Ctrrlt'?~f~l~1P~'C c.+` ~ VYI <br /> APPROVED: f , <br /> Project Manager ~ Date ~ <br /> Principal Engineer ~~''~yOC"' Date r 2"~ > <br /> Facilities Manager Date <br /> City Engineer Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. / .f ACK - ~ ~ ~ , ~ ' ~ / - ' <br /> GLTitle J/t/r1r~r~~? ~G~r~e ~~tr ~c /~'?GSl~e9r /~~Qrl <br /> Assigned by I ~/XDr'I Date "3~~~'~Gu <br /> lI ii <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 />