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Engineering <br /> PROJECT AUTHORIZATION FORM ~ Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / (541)682-5560 <br /> Service 1D: ~ 2 2 ~ SID` PB ~GL _ JC ~JE <br /> Project title: G ~2N 2~ d.c G~,..,.~rz V.,a.,a <br /> (rocaNon uid work descripron) <br /> Project manager /contact /private engineer. ~ <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: ~ ~lw~ <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City ~QA~+c Assessments Private Other department <br /> Acxount code <br /> cx <br /> Fed / F N ~ ~ fixed) .l~ <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERDEPARTMENTA~WORK DESCRIPTION: / <br /> iLv-~~rtx``~~s~-~lr.nQ~i w`~,1~ A\\D~..1 DZ ~wf~~~P~, 4~-'mss- da~/~-10(~1M.i..+-C- tc~ <br /> A~.?c~ W~¢.K. -~e-~ olrL.~} •.q~~~ ~R.yr.~.~ t c~•+C . ~r <br /> I <br /> C5 rs Cirs. , Z ~ ~ t <br /> I. <br /> I~rl.~~ ~~NOr` V~.? t~~sY~icsr~ Q \MAe~ ~i`O <br /> .s ham.... ~ c.?P ~L ~ w. s~ w ~Ar1,~ odor <br /> APPROVED: <br /> Project Manag to , Z°O4 <br /> Principal Engineer Date ~ ~D ' O <br /> Facilities Manager Date <br /> Ciry Engineer Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. Q55ooa ACK / ~ g33a ~k XXX gSSopa <br /> <br /> ~t(a~ GL Title ~ ~ r~5 - ` ~ Vf~ <br /> e~ ~ <br /> Assigned by Date <br /> Accounting by Date <br /> ATTACHMENTS: <br /> udget 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 />