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Engineering <br /> PROJECT AUTHORIZATION FORM Public Works <br /> <br /> _ City of Eugene <br /> 244 E. Broadway ' <br /> I / ~ Eugene, OR 97401 <br /> Service ID: G/J ` / SID Y_/ PB _ GL _ JC ~'41~ x'5560 <br /> Project title: Wi4S7~ ~jA6,/,/~~~ ~i2.~.~~Ec~" ~ ~s/,~/S <br /> (rocabon and N,wlc desaiption) 7 <br /> Project manager contact /private engineer. !G ~ / L <br /> PROJECT SCOPE: <br /> Paving: tom/ Bike lanes /paths: <br /> r~n~ <br /> Concrete walks: Setback /Curbside <br /> ~ r~ <br /> Sanitary sewer SOO Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other f Remodel <br /> FUNDING SOURCES: tSCF/Z ~~'~BdO /~o~ S3~ t:~t 73S 950/S <br /> City ~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~ <br /> -tom <br /> ~ F~y~° <br /> APPROVED: <br /> Project Manager Date ~ ~ / <br /> Principal Engineer Date- <br /> Facilities Manager Date _ <br /> City Engineer Date "Tl? <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. J O~~ ACK ~3~ ~ ~~~~r~XxxX ~ r SS <br /> GL Title ~ I`e'hah Zo05 D ~ ~3r~s ~S <br /> Assigned b t Date ~ I ® <br /> Accounting by Date <br /> C;J <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 />