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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ? 244 E. Broadway <br /> _ Eugene, OR 97401 <br /> I ~ L ~ ~ ~ ~ (541) 682-5560 <br /> Service ID: ; 7 JET f SID_ PB GL JC JE <br /> Project title: SULK JI ~ T~~~~i~ <br /> (location and wnAc descripnonl <br /> Project manager /contact /private engineer: ~ ~G4-.f•-t1.r.J <br /> PROJECT SCOPE: <br /> Paving: T~~~~~ ~~1~)~lY Bike lanes /paths: /warn/ <br /> Concrete walks: Setback /Curbside <br /> Qenptn) /width/ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SO RCES: ~y0~ ~`~/~y ?~3 <br /> ri / 33 Cvi 735' 4 ~s/~y ~ ~ <br /> Ci Asses mu~t~ ~ private ether department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WOjijC DESCRIPTION: <br /> S~.yt:~ Pn//U TS a~l.l ~vL It! ff Zd' ~ ~ VET ~~ED <br /> t3umPs s i~F-~1l! ~lGc'_(.~5 G~ A~~-~'A(` titT' <br /> APPROVED: <br /> <br /> ~~y,.~ Project Manager ~ Date .3 ~~7 ~Lz~ > <br /> U <br /> Principal Engineer ~ Z' C h+ ~ ~ Date ~ ~Z Z~ ~ ~ <br /> Facilities Manager Date M <br /> 3 7 ~ Z <br /> City Engineer Date <br /> 0 <br /> a <br /> M <br /> FOR USE BY ADMINISTRATION ONLY ° <br /> ~~11 pLf n t <br /> Capital Project No. `"t~~~ o ( ACK ~~a q33~ ~X,~X ~l ~/J~-Sr.~~,~ ° <br /> t L i a <br /> GL Titfe <br /> Assigned c Date <br /> Accounting by 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 FiIO 4~4R~'t9~Y P~14oP~~~ V D JANUARY 2000 <br /> <br />