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PROJECTAUTHORIZATION FORM Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / . / (541) 682-5560 <br /> Service ID: SID PB GL JC" JE <br /> Project title: t.° en ~ V 1"(, 1" <br /> Q ~ ~ <br /> Project manager /contact /private engineer. W ~ . i7 <br /> PROJECT SCOPE: ! <br /> Paving: Bike lanes /paths: <br /> Concrete walks: Setback /Curbside <br /> perryrn/ fwldnl <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 <br /> Fed /State /County /FAA fixed} <br /> COMMENTS !SPECIAL PROJECT INFO. / INTERDEPARTMENTAL WORK DESCRIPTION: <br /> r i ~S Ir S' <br /> L <br /> C....7 <br /> e ~ ~ ~o,n S n <br /> v~, <br /> APPROVED: T <br /> Project Manager Date ~ <br /> Principal Engineer Date _ - ,,1 <br /> Facilities Manager Date <br /> City Engineer Date .~17 r <br /> 0 <br /> FOR USE BY ADMINI5TRATION ONLY <br /> Capital ProjectNo.~555i~ ACKi~ GQx~cxk <br /> GL Title ~ I ~ ~ <br /> Assigned Date ~ / <br /> Accounting y 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 /> <br /> ~',~ile Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />