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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> L./ / {541 }682-5560 <br /> Service ID: / / ~ SID PB ~ GL ~ JC _ JE ? <br /> Project title: <br /> (bearion and wnk desagoean) <br /> !o ~r~.S r Z o , <br /> Project manager contact /private engineer. C C. ~ ~ <br /> PROJECT SCOPE: <br /> Paving: l1 Bike lanes /path : <br /> Concrete walks: Setback / Curbs/ <br /> ~ r»~~ <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other wt ? ~ ~ afiRemodel <br /> FUNDING SOURCES: <br /> City ~ Assessments Private Other departure t <br /> KF/Q ~t7n1 q $~c7 j~ J S~o> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> / .`S f C~ V h e~ a- <br /> ~ 'tc--F <br /> t o1 <br /> b ~ n OD <br /> ~ b I~l <br /> APPROVED: ~ - ~ ~ Q 3 <br /> ~Poo~ect Manager ~ Date <br /> . e Jd <br /> Date <br /> Facilities Manager Date ReCei ~tn <br /> -a~- ~ <br /> 05 ut~c~~ Date 2 3 <br /> ~y <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. 9y3~S_aa~ ACK 5310 4335 IoXX X ,3 aka <br /> GL Titie ~m <br /> Assigned by Date a1 ' ~ D <br /> Accounting by Date ~'r ~ b3 <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineers Report On I provement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Wo Request <br /> ? City Engineers initiating Order ? Public Improvement Permit Appi'ICation ? Map <br /> <br /> ! ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />