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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> Ciiy of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> yj~ / (54, 1)682-360 <br /> Service ID: ` ~ 3 1 SID '~PB ?GL ~C Y JE _ {C`.--y <br /> Project title: ~~Ctl~^'K,' ~ ~i ~a-r~'~~ (ate ; a +r~ ~.trY~ SS ~ v~.~+ T' ~ yr I,~'; t~( <br /> ovation and work descriptiorn~} _ <br /> Project manager /contact /private engineer. i <br /> e ~ ~ ti l ~ l ~ i tom) <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /pants: <br /> (widths} ~ (width) <br /> Concrete walks: ~ Setbac Curbsi <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping ' <br /> Signal Street lights ~ ROW required <br /> New building construction P-Jat~ipa t~'1"~~ If`~re.~ ~ ~ ~ Remodel <br /> FUNDING SOURCES: l"1.l~e~/ IG/~' <br /> ~ r <br /> City Assessments Private Other xy ~ ~+`.~C~ <br /> Account code l <br /> Fe Sta ounty /FAA -Fi' ~ <br /> ~ <br /> ~ fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. / INTERD PARTMENTAL WORK DESC~TION: <br /> of ~ 6~ ~r w~. ~ tic' ~ d v~ ~ , <br /> APPROVED: 1 sj '~f <br /> Project Manager Date <br /> Principal Engineer Date 3 ' <br /> Facilities Manager Date / <br /> City Engineer Date 3/ T d 1 I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. g3~~a~ T ACK ~ ~X X XX q,~~a~ `il- <br /> GL Title r~d~ ~'-~r ri ~ I v~ ~ ~ ~ Xn <br /> Assigned by ~ Date <br /> Accounting by Date ~ <br /> ATT CHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement gtneering Service Work Request <br /> ?_,~'ty Engineer's Initiating Order ? Pub{ic Improvement Permit Application L~ Map <br /> L~!t File Request Form <br /> <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />