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Engineering <br /> PROJECT AUTHORIZATION FORM Pu~~w~ <br /> ~ y~_ City of Eugene <br /> ` 244 E. Broadway <br /> Eugene, OR 97401 <br /> ? as t~4,, <br /> Service ID: 2 ~ SID ~PB GL _ JC ! JE <br /> Project title: LtJ • / ~ r~ ~ V s Td M ~ />Al_' RD M S/.../V/=Gg % <br /> a f <br /> f ~tl y p/ <br /> d <br /> Project manager /contact /private engineer. ~ /T ~c!/ ~ L~ L~=QTY <br /> PROJECT SCOPE: <br /> Paving: t1 Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> f ~ Lan In <br /> Sanitary sewer Storm 9wre~ ~ dscap' g <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: $q77~~ rpfrQ ~ie0 M' 3~ <br /> 5` 43307 fb ~ 79 9 9 7S'a'f <br /> City Asses~tft~rl~s~ ~ <br /> ate 933. G.tT99 bfherbdepartment <br /> • • Account code <br /> Fed /State /County /FAA (°k, faxed} <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> T CaS~s ~ o /C s <br /> 4 0 ~ ~ / <br /> APPROVED: <br /> Project Manag ~ Date / ~ - <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> City Engineer Date 7~~16 ~ <br /> FOR USE BY ADMINISTRATION ON/LY J ° <br /> 955I~~ ACK ~3I Q~~Z ~O~.r ~ ~5/~~~ <br /> Capital Project No. <br /> GL Title ~ v r T <br /> ~ N <br /> Assigne y e Date ~ ~~=-st.c-~-_ <br /> r <br /> I <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineers 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 Fom1 <br /> <br /> ENG 415 WHITE / Rnance YELLOW /Administration Fle PINK /Engineering Fle GOLDENROD! Project Manager JANUARY 2000 <br /> <br />