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PROJECT AUTHORIZATION FORM ' <br /> City of Eugene <br /> 244 E. Broadway . <br /> Eugene, OR 97401 <br /> (541)682-5560 <br /> Service ID: ¢~3 ~ S1D_ PB ~ GL ~ JC ~ JE ~ <br /> Project title: <br /> S <br /> Project manager /contact /private engineer: L I~- <br /> PROJECT SCOPE: ~ <br /> Paving: , / Bike lanes /paths: ~ <br /> Corxx~ete walks: /~G / Z ' Setback /Curbs <br /> Sanitary sewer /I~ Storm sewer _ Y/~S Ong 1~ SS <br /> Signal ~ ~ Stn3et lights ROW required ~ <br /> New building construction ~d Planning, other Remodel <br /> FUNDING SOURCES: ?w/YftS S. ~ ~p j~ ~yt,~ CJ ~5/.~~ <br /> City x Assessments Private Other department <br /> Acxount code <br /> Fed /State /County /FAA ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTKNV: <br /> L; G!: o <br /> ' F <br /> Q? <br /> APPROVED: <br /> Project ~~9 Date ~ 6 <br /> Principal Engineer Date ^ <br /> Fadlities Manager Date <br /> City Engineers Date ~ ~ <br /> FOR USE BY ADMINISTRATION ONLY 93.c232 <br /> Capital Project No. 9a509~ ACK `333 ~ 93.~a X - <br /> GL Title <br /> Assigned by Date <br /> Akxounting by Date d <br /> ATTACHMENTS: <br /> /e?~ ~ Budget Estimate ? Developer Agreement ? Engineer's Report On Im rovement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wo Request <br /> ? City Engineers Initiating Order ? Public Improvement Permit Application ~ Map <br /> File Request Form <br /> <br /> • ENG 415 WHITE / Finance YELLOW / Administration File PINK /Engineering FAe GOLDENROD /Project Manager JANUARY2000 <br /> / <br /> <br />