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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> ~ Eugene, OR 97401 <br /> S~~ (541 } 682-5560 <br /> Service ID: ~ ~ ~ ~ SID! PB ~GL JC _ JE _ <br /> Project title: ,L~G~,~ac.~ ~2c°~r?'1 f~u-T~l t~(Z, ~ ~-U s~-i~Zr~'7- <br /> cationandw d cnption) n ^ (~~@ J~ p~~` ,{'~1`J~~)J\ C ~'y~~ JI •~Y ,~~{y, <br /> s_.. ~Y' • <br /> ~P~V <br /> S ~~-/7-. 4/V' ~(I'7 I)~J i J 'Vii."~ .rMr~ v~ G: KY. (RJ.-`~ <br /> ' ~ J <br /> Project manager /contact /private engineer.,~L[ Q s <br /> it PROJECT SCOPE: <br /> Paving: ~ ? Bike lanes /paths: <br /> (widtns) ~ (widrn) <br /> Concrete walks: ~1 U~5 ~ Setback /Curbside <br /> <br /> 1(length) (width <br /> Sanitary sewer _ Storm sewer Landscaping /1rO <br /> Signal Street lights I~ ROW required <br /> New building construction Planning, other ~O Remodel <br /> FUNDING SO RC <br /> ~Atsp~dR?GS~ <br /> City .9~A sessments ~ Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS 0 SP CIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> ~ ~t A ~T rp~r ~ P~ <br /> APPROVED: <br /> Project Manager Date ~ <br /> Principal Engineer Date ~ ~ ~ ~ <br /> Facilities Manage] t Date <br /> City Engineer ~ Date <br /> .FOR USE BY ADMINISTRATION ONLY ~~~f~~ <br /> 11~~1___(r~~~/rr LL <br /> Capital Project No. _ ~T ACK ~ ~ ~ <br /> GL Title ~ ~ <br /> f <br /> Assigned by ~-~i'l~ Date <br /> Accounting by ~ Date <br /> A ACHMENTS: <br /> ~ udget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> Ity Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />