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PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> ~/1. ~ ~ j City of Eugene <br /> /~1 / 244 E. Broadway <br /> / Eugene, OR 97401 <br /> J (541) 682-5560 <br /> Service ID: ~ ~ SID ~PB ~GL _ JC _ JE <br /> Project title: ~ ~ ~~~d~' ~~J~~ ~ ~ ~ <br /> (location nd work description) <br /> ~T~~ nn;r~r ~-~~.-tZ <br /> Project manager /contact /private engineer: Q ~ d~ ~G GIU <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) ~ C; 11 <br /> Sanitary sewer Storrr>"s~r e~ Landscaping <br /> Signal Street lights ROW required <br /> STV~--~ j 5@®a--/~ <br /> New building construction Planning, other C'~ <br /> t7l - Remodel <br /> <br /> . FUNDING SOURCES: <br /> City Assessments Private ` Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> APPROVED: <br /> Project Manager Date ~2~~~ - <br /> Principal Enginee Date <br /> Facilities Manager Date <br /> City Engineer Date~/'2(0 6~, <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No, ~ ~ ~ 7~~ ACK ~ ~ ` ~ X ~ 7 ~ g~~ <br /> GL Title <br /> Assigned by Date ~ <br /> Accounting by Date <br /> ATTACHMENTS: <br /> t~ : ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet engineering Agreement ? Engineering Service Work Request <br /> tty,Engineer's Initiating Order ~'ublic Improvement Permit Application ? Map <br /> w ~ ~ ile Request Form <br /> ENG 415 WHITE l Finance YELLOW !Administration File PINK 1 Engineering. File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />