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1~ G ~ <br /> PROJECT AUTHORIZATION FORM Cl~ ~ Engineering <br /> J Public Works <br /> Mq~~ X City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> service ID: ~O? ~ 7 ~p SID X PB ~GL JC ~ JE <br /> Project title: t _ i ~-~VO~ <br /> Qocaabn and work desara~«+1 <br /> Project manager /contact /private engineer. ~~~/I~ ~ar)CE~ r ~ <br /> PROJECT SCOPE: <br /> Paving: tom/ Bike lanes /paths: !~h/ <br /> Concrete walks: Setback / Curblsipde <br /> (~ena~+) (widu+l r <br /> Sanitary sewer ~ Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUND G SOUR E$ ~ ~ ~ ~ n <br /> City ~ Assessments ~ 'Private G~~ Other department <br /> G ~,(/~1v,S Account code <br /> Fed /State /County /FAA fixed} <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPT{ON: <br /> ! j' n <br /> ca <br /> r"Y <br /> XF~ 50~ ~ 33~ ~~73~' 7sla~ <br /> e <br /> APPROVED: ~ <br /> d ,n <br /> Project Manager ~ Date Il <br /> Principal Engin er Date <br /> f-aeilit+es-Man Date <br /> C~ Date <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ACK 3.3(a q 3 35 LOX'xac~C q55! C~ 2. <br /> GL Title ~ U1.~5 <br /> w ~ C~ 5 b <br /> Assigned Date <br /> Accounting by Date <br /> A7JACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement engineering Service Work Request <br /> ? City Engineers initiating Order ? Public Improvement Permit Application Map <br /> ? File Request Form <br /> a <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK !Engineering File GOLDENROD 1 Project Manager JANUARY 2000 <br /> 1 <br /> <br />