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<br /> ....moo <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> ~2~~~ I 244 E. Broadway <br /> Eugene, OR 87401 <br /> (541)682-5560 <br /> Service 1D: ~ SID `/PB ~ GL - JC ~ JE 3S ~A <br /> O W ~ A 5ac~ <br /> Project title: <br /> (krcarfon ar?d work drU <br /> Project manager 1 contact /private engineer. ~ ~9T1G D G 1 <br /> PROJECT SCOPE: <br /> Paving: ~ Bike lanes /pat ham! <br /> Concrete walks: Setback / Curbsi <br /> ~ f <br /> Sanitary sewer Storm sewer Landscaping <br /> Signa! _ Street lights ROW required _ <br /> New buildng construction Planning, other Remodel <br /> FUN ING SOURCES/~j~~v0b ~F ~f67~'-1~E~1~~ pi~RK <br /> City Ot7 Assessments Private Other departure t <br /> ~ ~ 4rt~Di~ s.~, Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> o v V e ~ <br /> o- ~V a <br /> APPROVED: <br /> Project Manager a Date ~ ' ` d <br /> Principal Engineer Date <br /> Facilities Manager Date <br /> G`itp-Engineer Date <br /> nas <br /> FOR USE BY ADMINISTRATION ONLY . <br /> Capital Project No. ~o?SUS°'~ ACK ~ 9335" X ~ SOS <br /> GL Title ~ + <br /> Assigned by Date ~ ` ' D <br /> Accounting by Date <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 Application ~ Map <br /> ? File Request Form <br /> J~ ENG 415 WH17E ! Fnance YELLOW /Administration FIe PINK /Engineering Fie GOLDENROD /Project Manager JANUARY 2000 <br /> <br />