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JECT AUTHORIZATION FORM /'I'</ ~ Engineering <br /> / Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~r1 / V r0 Eugene, OR 97401 <br /> ~S , / , / V ~1/~ (541) 682-5560 <br /> rvice ID: SID_ PB _ GL _ JC _ JE _ <br /> ~ r~ ' I t <br /> Project title: ~ ~ h~~- ~'r ~ w~~ T <br /> <br /> Jq .,,d~,~ bo,,, <br /> Project manager /contact /private engineer. ~7~'{~W ~"V <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> rte/ <br /> Concrete walks: Setback /Curbside <br /> ~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: # ~K ~ ~ X33 933 a G / 7.~5r q 7 Sa ~ n <br /> City Assessments Private Other department ~ <br /> ar <br /> Account code <br /> Fed /State /County /FAA j'~. Prxed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPA TMENTAL WORK DESCRIPTION: <br /> 4 <br /> 1,Tt~tih. ~ Wt,~-~- P~ <br /> l <br /> M <br /> C~ <br /> ~ I <br /> ~D <br /> O <br /> APPROVED: r <br /> Project Manager Date ~ ~ /~b~ <br /> Principal Engineer Date ~ ~d <br /> Faalities Manager Date / / <br /> City Engineer Date 1r/1!~'4-- <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ~ ~ I / ACK I q~32 ~1~( <br /> C~~C / <br /> GL Title ~PP F"}"D~ A?l. ~-Yt~~ctvrc~- U~?I~CWIBN~ <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 /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />